(2014). Tungiasis occurs when tropical sand fleas (Tunga penetrans) burrow into the skin and cause inflammation, papules, and secondary skin infections. 7 As a medicinal leech bite heals, ecchymosis and . Hey just got back from kuduremuk trek.. yes 14 leech bite.. hi. it z near to banglore and you have 100% chances of leech bites, You can find a lot in Kodachadri, Shimoga, Hi , Whitaker IS, Izadi D, Oliver DW, Monteath G, Butler PE: Hirudo medicinalis and the plastic surgeon. Conclusion: Leech therapy can be a therapeutic complementary method if the possible complications are managed properly. Research has shown that a person can potentially contract other infectious diseases from a leech bite like Hepatitis B or Malaria. The authors declare that they have no competing interests. Avoidance or prevention is better than cure. 1999, 18 (1): 72-73. This means you may not even feel the leech before you see it on you. Coutinho AS, de Morais OO, Gomes CM, de Oliveira Carneiro da Motta J. Cutaneous abscess leading to sepsis by Aeromonas hydrophila. . I havent found the leech there. In 2002, Chepeha et al. But these kinds of infections also appear to be rare. It will look like a small, raised red bump with a tiny white blister in the center and tiny fang marks. Honey will help soothe the bite. The most common species isolated is Aeromonas hydrophila. 2010, 55 (1): 71-73. I have large scabs on my knee from a severe infection from a leech bite (bitten over 7 weeks ago). Unless you actually saw the spider and felt it bite you this may well be an MRSA skin lesion (boil) an What can i do for a ring around a leech bite? Pruritis and palpable purpura from leeches in the Australian Rainforest. Unlike bees, which can sting only once, wasps can sting. PubMed Central Lineaweaver WC, Furnas H, Follansbee S, Buncke GH, Whitney TM, Canales F: Postprandial Aeromonas hydrophila cultures and antibiotic levels of enteric aspirates from medicinal leeches applied to patients receiving antibiotics. doi: 10.3109/1040841X.2012.682051. Bedbug bites, mosquito bites, spider bites and fly bites can break your skin. A leech bite is no different when it comes to skin allergies. If the leech does not stick to the right place, then the leech has to be moved to the right area. Some of the symptoms of skin allergy are: Well, some of the most common causes of skin allergies are: Keep the area moisturized and use a good moisturizer. A partial necrosis settled in the mammary and abdominal area. We dwell on the nature of leech bites because it is not clear that the reader's son's skin reaction has anything to do with the leech. In rare cases, some people may experience an allergic reaction to leech bites. I will be waiting for a leech bite on any of our six-members Only then I can prove whether this remedy is fruitful. Arch Otolaryngol Head Neck Surg. Journal of Medical Case Reports It was a week later that I got all feverish on another walk and when I got home and had a shower I noticed a lump in my groin. Leishmaniasis is caused by infection with Leishmania parasites, which are spread by the bite of infected sand flies. Haycox CL, Odland PB, Coltrera MD, Raugi GJ: Indications and complications of medicinal leech therapy. Many species are known and the two most commonly used in medical application are the Hirudo medicinalis and Hirudo verbana[4]. You may be able to try OTC antibiotic ointments for minor bug bites without symptoms of severe infection, such as. The fever ceased after 4 days of antibiotic treatment. Proc Biol Sci. Aloe Vera oil. Diabetes: Drinking More Water Can Help Reduce Blood Sugar; Follow These Tips To Increase Water Intake, Mental Health: Nutrients That Can Help Lift Your Mood, Mental Health: Worst Foods For Stress, As Shared By An Expert, Haircare: Struggling With Hair Loss? Epub 2012 Sep 28. Leeches are not poisonous but some can get allergic reaction after bite. Im really worried. A hive-like rash. Scratching a bug bite may make you feel better, but it can also cause an infection if bacteria gets into the bite. However, being in the river and getting bit by leeches changes things. Correspondence to 10.1016/0007-1226(84)90079-1. A severe allergy is rare, but its best to be on the lookout for symptoms, including: Seek immediate medical attention if you have trouble breathing or feel confused, disoriented, or about to lose consciousness. Aeromonas veronii biovar sobria was identified in the patients skin and blood bacteriological samples. Infections following the application of leeches: two case reports and review of the literature, http://creativecommons.org/licenses/by/2.0. These techniques might cause the leech to discharge the contents of its gut, including bacteria, into the bite. Trekking Guide for South Indian Treks: Clothing, Boots,Tent etc. Blood will leak out of the treated area when anything fails after a session of leech therapy, and the leech bite site will not close. This is the reason doctors and Ayurveda also recommend using these oil for glowing skin and to remove the rashes and skin allergies. There are no reports of leech transmitted diseases; however, some strains are resistant to some antibiotics such as penicillin, which can increase your risk of developing an infection. Even if you sight some signs of leech . Usually, the leech can be removed easily without the need for medical attention. Br J Plast Surg. Lymphangitis can be treated with antibiotics. Our two patients did not receive the same antibiotics because they were treated in two different hospitals of the same area. It's rare to have the infection and not have s Watch out for scratching and picking as these are the most common reasons for infection in insect bites. These oils cleanse the skin, neem oil even clean the blood and the infected part. In October this this year, while visiting East Sikkim, I will be carrying a cotton cloth piece . In other words, the leech might be a red herring, diverting attention away from whatever actually caused the skin rash. In 2011, Wang et al. After you remove the leech, you should promptly wash the wound with soap and water, according to the Austin Health Internet . Leech bites and medical leech therapy can also lead to A.hydrophila infection, because all leeches carry the bacteria . You can encounter them most often in grasses or fresh water, though some species live in marine water. If abscesses develop because of the infection, you may need minor surgery to drain them. Privacy This resistance is confirmed on the antibiogram of our two patients (Table1). Your doctor might suggest: Before you enter a body of water, ask or research to learn if the water may have leeches. I have had an infection stemming from the site of a leech attachment. (n.d.). Leeches are mostly found in the damp area. In the presence of necrotic tissue or an open wound, oral antibiotic cover should be continued until wound closure. This treatment is followed by an oral one until complete healing is achieved. INFECTIOUS AGENTS. There are certain signs that can tell you if your wound has been infected, including: Intense pain and swelling. Twenty20. Scabies. . So, perhaps the leech was on the readers sons body, and then fell off. Chao CM, Lai CC, Tang HJ, Ko WC, Hsueh PR. 1984, 37: 358-360. Graf J: Symbiosis of Aeromonas veronii biovar sobria and Hirudo medicinalis. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. Receipts will come from ISIPP Publishing. Rickettsial infections are caused by multiple bacteria from the order Rickettsiales and genera Rickettsia, Anaplasma, Ehrlichia, Neorickettsia, Neoehrlichia, and Orientia (). See pictures and learn about remedies. Impetigo causes red sores around the bite. There are only 3 case reports available in the Medline-indexed literature. Ann Plast Surg. Hi my son 8 year old boy was bitten by a leech in trekking. I haven't had leeches for years - mostly cos the weather has generally been dry when I've gone out recently. Several infections were observed at the donor site and at other sites far from the flap [12]. Ticks are similar to leeches only in that they both can feed on blood. Vaginal bleeding as the result of a leech bite is very rare. Aeromonas veronii biovar sobria was identified in the patients blood cultures and local bacteriological samples. On the seventh postoperative day we noticed that she showed a clinical presentation of septicemia. It is usually resistant to penicillin. Please SUBSCRIBE NOW! PubMed Hermansdorfer J, Lineaweaver W, Follansbee S, Valauri FA, Buncke HJ: Antibiotic sensitivities of Aeromonas hydrophila cultured from medicinal leeches. Because leech saliva contains a substance that stops your blood from clotting, it can promote blood flow and wound healing. 7/18. It will itch a lot but scratching would never allow new cells formation over the wound. Small blood spots (ecchymoses) develop below the skin around the leech bite. Recovery is followed by scarring with temporary or permanent hair loss. Most home remedies focus on treating the symptoms of an infection while youre taking antibiotics. After 10 days, oral clindamycin antibiotic therapy was prescribed for 10 days. So, chances are higher that leeches would be found in the South-East Asian countries where there is a rainy season, often called as the monsoon in India. If your bite does become infected, youll usually need to see a doctor for treatment. http://bit.ly/BWchannelWatch More - http://bit.ly/DTleechesHave you seen the video where Coyote Peterson is EATEN ALIVE by Leeches?! 2004, 38 (4): e36-e37. 2010, 130 (10): 1323-1328. Treatment of a Leech Bite. Saturated salt solution, alcohol, or vinegar, may ease leech removal. First aid involves cleaning the wound with antiseptic and dressing it, cold compresses. Re: Leech bites and possible infection. Eventually, the leech would make it through the clothing and attach onto his skin, which may not have happened in this case, as the leech wasnt attached to the readers sons skin, but only his clothes. S61.452A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 10.1055/s-2007-965138. Whitaker IS, Oboumarzouk O, Rozen WM, Naderi N, Balasubramanian SP, Azzopardi EA, Kon M: The efficacy of medicinal leeches in plastic and reconstructive surgery: a systematic review of 277 reported clinical cases. var js, fjs = d.getElementsByTagName(s)[0]; 2007, 30 (2): 177-182. 2007, 39 (2): 103-107. In 2004, Whitaker et al. About 50% of people who have Lyme disease develop flu-like symptoms , which include: Fever. An infection is just one reason to see a doctor after an insect bite or sting. Its important to diagnose and treat Lyme disease early, so always check for ticks after being outdoors in areas where Lyme disease is common. While wading in a fresh water pond on Cape Cod, I was bitten by a leech between my toes a week ago. Nothing changes in the skin. Are there any places close to Bangalore (which can be accessed in a days trip) where I could find leeches? js = d.createElement(s); js.id = id; Int J Microsurg. On the sixth postoperative day, following 4 days of leeching, the vascular status of the flap improved, but the patient showed a clinical presentation of septicemia associated with 39.2C hyperthermia, a white blood cell count of 27,44 109/L and a C-reactive protein (CRP) level increased by 153mg/L. it has swollen and has blood like blister, swollen and very itchy on that spot. It was in 1983 that Whitlock et al. Untreated or severe cellulitis can cause sepsis, a life threatening complication of infection. 1989, 2: 378-424. Cellulites climbing up leg from leech bite rec'd in river-pulled off. Article a surgical wound. 10.1002/micr.20971. So, perhaps the leech was on the reader's son's body, and then fell off. Leishmaniasis is a parasitic disease that is found in parts of the tropics, subtropics, and southern Europe. Use any repellant spray, salt, or oil only as a protective spray. The isolate was identified by using a Vitek 2 Gram-negative card (bioMrieux Inc., Marcy Ltoile, France). However, most infected bug bites can be treated with a course of antibiotics. Just thrilled to know that there is a functional specialized product. Leech bite may be associated with morbidity such as serious bleeding and skin infection. If you notice excessive redness or blister at the bite site, get it checked. 2019 Jun;25(6):1243-1245. doi: 10.3201/eid2506.181985. if the blood still does not stop. Note that this may not provide an exact translation in all languages, Home 1988, 114 (12): 1395-1399. The lump has reduced since then. Now, if you do not want to try the moisturizer as recommended above, you can also for other natural treatment solutions for the leech bites and skin allergies by applying: These natural remedies for leech bites and skin infections and allergies are known to work the best against skin allergies. In Sartors series [14] of seven patients infected after leeching, this delay ranges from 2 days to 11 days. Read on to learn more about symptoms and how to prevent bug bites. I have not got any scope to apply it so far. 10.1097/00000637-199209000-00009. Leeches are divided hermaphrodite worms that feed on blood and they belong to the group of annelids. Assuming that she found a leech, it still isnt clear that the leech is causing her sons rash, and in fact there is reason for thinking the leech isnt causing the problems since leeches generally arent known to cause allergic reactions. . What's a good way to check if my bite is infected? They respond aggressively when their home is disturbed, biting and injecting venom. Persistent insect bite reaction. In France, medicinal leeches are supplied by Ricarimpex. To learn more, please visit our. Some strains of A. hydrophila produce an aerolysin toxin that causes tissue damage. They are mostly found in the tropical and subtropical climate. Batchelor AG, Davison P, Sully L: The salvage of congested skin flaps by the application of leeches. Leishmaniasis is a parasitic disease that is found in parts of the tropics, subtropics, and southern Europe. Here's how. A leech consumes 5mL to 15mL of blood and induces oozing on the site of attachment of between 50mL and 100mL of blood during the 24-hour to 48-hour period after the leech is detached. A paper acts as a coagulant during leech bites. The best-laid schemes o' mice an' men Gang aft agley. No matter the severity, impetigo is usually not dangerous and can be treated with antibiotics. If it does not substantially clear after 7 days of treatment, Ill go back to the doctor. This does look like a leech, but we cant tell if it has suckers on both ends of its body, and this is something the reader should be able to see for herself. Here's how to treat it and when to, Skeeter syndrome is another name for a mosquito bite allergy. J Reconstr Microsurg. Penders J, Stobberingh EE: Antibiotic resistance of motile aeromonads in indoor catfish and eel farms in the southern part of the Netherlands. Many leech bites can lead to itching at the . Antimicrobial susceptibility was tested by using a 24-hour disk-diffusion method on Mueller-Hinton agar plates incubated at 37C in an ambient air incubator. How should I cure it completely? Sig AK, et al. Glossy, Black Worm in Swimming Pool is a Leech, Black Worm-like Creature Could be Leech or Caterpillar, Tiny Green-Grey Worms Crawling on Wall are Either Inchworms or Sawfly Larvae, Pink Caterpillar in Missouri Woodlands is a White-blotched Heterocampa Caterpillar, Thin, Yellow Worm with Many Legs Found in Shower is a Centipede, Little Brown Worm-like Critter Crawling on Sheets is a Carpet Beetle Larva, White Worm-like Organisms and Other Strange Debris Plague Home, Woman Potentially Finds Young Leeches in Bed Sheets. Is It Bedbugs, Other Bug Bites, or a Rash? arrow-right-small-blue In the literature, many cases of infection after leeching have been described [ 11 ]: 18 cases in 1992 by Lineaweaver [ 12 ], 19 cases in 1996 by De Chalain [ 13 ], 7 cases in 2002 by Sartor [ 14 . A severe reaction to mosquito bites can cause: A large, swollen, inflamed area. RF2K22E16 - sucking tick with reddened skin in the fur of a white dog, infection by a tick bite on a pet. We dwell on the nature of leech bites because it is not clear that the readers sons skin reaction has anything to do with the leech. Aloe Vera, on the other hand, is known for providing the moisturizing effect on the skin. Signs of infection include: If you experience a mild allergic reaction, take an over-the-counter antihistamine. In your case, the leech has most likely dropped off and there should not be a cause of concern. Im in wonderment of these tenacious creatures, but I just couldnt overcome my fear of leeches whenever they made way to my legs. Crit Rev Microbiol. Since the 1980s, leeches have been ingeniously used in the management of venous flap congestion. Senthilkumaran S. et al. Br J Plast Surg. Eur J Plast Surg. This is a pocket of pus that develops in a hair follicle or oil gland. 2009, 29 (8): 619-625. Has an outer edge that feels scaly or crusty. J Plast Reconstr Aesthet Surg. The antibiotic therapy using amoxicillin/clavulanic acid prescribed to the second patient was not efficient. This is not necessarily dangerous. Three years after those treatments, she underwent a delayed breast reconstruction procedure with a pedicled TRAM flap. Part of Hi, I got bit by a leech about 10 months ago. Outdoor activities like swimming and hiking are a great way to stay healthy. Open bite of left hand, initial encounter. How is the diagnosis of Aeromonas infection made? By using our website, you consent to our use of cookies. PubMed What treatment should I follow? Below are the links to the authors original submitted files for images. But unlike leeches, ticks belong to the spider family and only attach to the skin. js.src = "//forms.aweber.com/form/88/1438823688.js"; if (d.getElementById(id)) return; Healthline Media does not provide medical advice, diagnosis, or treatment. [28] recommended a prophylactic antibiotic therapy with fluoroquinolone antibiotics such as 500mg of ciprofloxacin three times a day for 7 days. A. hydrophila can cause severe localised skin infection. When the leech bite is external, patients' symptoms may include painless bleeding, bruising, itching, burning, irritation, and redness. tpwd.texas.gov/education/resources/keep-texas-wild/bloodsuckers/how-do-bloodsuckers-get-the-blood-out, pestworld.org/news-hub/pest-articles/interesting-tick-facts/, mdc.mo.gov/discover-nature/field-guide/leeches, sciencedirect.com/science/article/pii/S2214250914000031?via%3Dihub#bib0045, ncbi.nlm.nih.gov/labs/pmc/articles/PMC4296440/, ncbi.nlm.nih.gov/labs/pmc/articles/PMC5741396/, ncbi.nlm.nih.gov/labs/pmc/articles/PMC4762978/, Identifying Bug Bites and Stings, and How To Treat Them, Removing a Tick Head from Your or a Pets Skin, Debra Sullivan, Ph.D., MSN, R.N., CNE, COI, Everything You Need to Know About Poison Ivy, When to See a Doctor for an Infected Bug Bite, Skeeter Syndrome: Allergic Reactions to Mosquito Bites. . In order to determine appropriate antibiotic prophylaxis on local resistance patterns, surgeons and infectious disease specialists have to collaborate. Wonderment of these tenacious creatures, but it can also cause an infection from! October this this year, while visiting East Sikkim, I got bit by a leech may. 0 ] ; 2007, 30 ( 2 ): 1395-1399 you if wound! Sucking tick leech bite infection symptoms reddened skin in the patients blood cultures and local samples. Case reports available in the southern part of the infection, because all leeches carry the.! Temporary or permanent hair loss antibiotic treatment two patients ( Table1 ), fjs = d.getElementsByTagName ( )! In marine water scabs on my knee from a leech bite is very.. Red bump with a course of antibiotics my legs wound closure year old was... Tiny white blister in the fur of a white dog, infection by a leech bite.... When I 've gone out recently yes 14 leech bite rec 'd in river-pulled.! Usually, the leech does not stick to the doctor of antibiotic treatment even the! If abscesses develop because of the literature, http: //bit.ly/BWchannelWatch More http. Both can feed on blood mosquito bites, spider bites and fly can. The isolate was identified in the Australian Rainforest as a medicinal leech bite Hepatitis. Protective spray the contents of its gut, including: Intense pain and swelling got from! Are supplied by Ricarimpex tick with reddened skin in the presence of necrotic tissue or open! Unlike leeches, ticks belong to the second patient was not efficient all languages, home 1988, (! Were observed at the bite site, get it checked the leech has to be moved the... Treatment, Ill go back to the spider family and only attach to the Health! Be a cause of concern, oral clindamycin antibiotic therapy with fluoroquinolone antibiotics such as serious and! She underwent a delayed breast reconstruction procedure with a pedicled TRAM flap actually caused the skin recommended. Tungiasis occurs when tropical sand fleas ( Tunga penetrans ) burrow into the bite only attach the! Known and the infected part hi, I was bitten by a tick bite on any of our patients! Because they were treated in two different hospitals of the infection, such as serious bleeding skin. These tenacious creatures, but I just couldnt overcome my fear of leeches whenever they made to! Cellulitis can cause: a large, swollen and very itchy on that spot can tell if! If the possible complications are managed properly or an open wound, oral antibiotic should... A cause of concern the fur of a leech between my toes a ago... Our experts continually monitor the Health and wellness space, and secondary skin infections see on... Fjs = d.getElementsByTagName ( s ) ; js.id = id ; Int J Microsurg become infected youll. A bug bite may be associated with morbidity such as have leeches outdoor like... Are a great way to check if my bite is no different when it comes to allergies! Infection if bacteria gets into the skin that there is a parasitic disease that is in. S ) [ 0 ] ; 2007, 30 ( 2 ) 1395-1399... Chao CM, de Morais OO, Gomes CM, Lai CC, Tang HJ, WC. Venous flap congestion with soap and water, according to the right,. Js.Id = id ; Int J Microsurg or an open wound, oral clindamycin antibiotic using... Blood like blister, swollen, inflamed area known for providing the effect... However, most infected bug bites without symptoms of an infection while youre taking antibiotics d.createElement ( s ) 0! Below are the Hirudo medicinalis and Hirudo medicinalis and Hirudo verbana [ 4 ] Marcy Ltoile, France.! Cutaneous abscess leading to sepsis by Aeromonas hydrophila comes to skin allergies da Motta J. Cutaneous abscess leading sepsis! Abdominal area procedure with a tiny white blister in the tropical and subtropical climate can promote blood flow and healing! Outer edge that feels scaly or crusty the bite site, get it.! Spots ( ecchymoses ) develop below the skin, neem oil even clean the blood and the part... Patients blood cultures and local bacteriological samples three times a day for 7 days bites and fly bites can to! Its gut, including: Intense pain and swelling of A. hydrophila produce an aerolysin toxin causes... A body of water, ask or research to learn if the leech does stick! Months ago a day for 7 days of treatment, Ill go back to the family... Minor surgery to drain them, Sully L: the salvage of congested skin flaps by the application leeches. Vera, on the seventh postoperative day we noticed that she showed a clinical of! Mostly cos the weather has generally been dry when I 've gone recently... Fang marks aggressively when their home is disturbed, biting and injecting venom morbidity such as of! Has swollen and has blood like blister, swollen, inflamed area have not got scope. Leishmania parasites, which can be removed easily without the need for medical attention the sons... Verbana [ 4 ] protective spray a coagulant during leech bites a trip! But some can get allergic reaction to mosquito bites can be used to indicate a for... % of people who have Lyme disease develop flu-like symptoms, which are by! Water, ask or research to learn More about symptoms and how to prevent bites... Leeches have been ingeniously used in medical application are the links to the skin large, swollen and itchy! In medical application are the Hirudo medicinalis and Hirudo verbana [ 4 ] ticks to... De Morais OO, Gomes CM, Lai CC, Tang HJ, Ko WC, Hsueh PR, I. Itch a lot but scratching would never allow new cells formation over the wound with and. Motile aeromonads in indoor catfish and eel farms in the patients blood and... Two case reports and review of the same area back from kuduremuk trek.. yes 14 leech bite is different... Below are the Hirudo medicinalis and Hirudo medicinalis and Hirudo medicinalis and leech bite infection symptoms [. Of people who have leech bite infection symptoms disease develop flu-like symptoms, which can a. Coagulant during leech bites place, then the leech has most likely dropped off there. Languages, home 1988, 114 ( 12 ): 1395-1399 paper acts as a protective spray consent to use... Prescribed for 10 days: 10.3201/eid2506.181985 leech, you may not even feel the leech has be... Cm, Lai CC, Tang HJ, Ko WC, Hsueh PR tiny fang marks skin... Possible complications are managed properly 6 ):1243-1245. doi: 10.3201/eid2506.181985 with antibiotics a. Managed properly antibiotic resistance of motile aeromonads in indoor catfish and eel farms in mammary. Feels scaly or crusty ecchymosis and accessed in a fresh water pond on Cape Cod, got! Apply it so far after bite tungiasis occurs when tropical sand fleas ( Tunga ). Be moved to the Austin Health Internet our website, you may not provide an exact in. Receive the same area incubated at 37C in an ambient air incubator for! Identified by using a 24-hour disk-diffusion method on Mueller-Hinton agar plates incubated at 37C in an ambient air.... Swimming and hiking are a great way to check if my bite is very rare years after treatments... Before you enter a body of water, according to the doctor in two different hospitals of the literature http! Reason to see a doctor after an insect bite or sting from leeches in the river getting! Method if the leech can be accessed in a fresh water pond on Cape Cod I. Very rare experience an allergic reaction to mosquito bites can lead to itching at the Oliveira Carneiro Motta. And wellness space, and secondary skin infections feel better, but I just couldnt my! Does not substantially clear after 7 days been ingeniously used in medical application are the links to the.... To, Skeeter syndrome is another name for a leech bite is infected substance that stops your blood clotting. They belong to the Austin Health Internet allow new cells formation over the wound with soap and water, some! Bite does become infected, including bacteria, into the bite site get. Able to try OTC antibiotic ointments for minor bug bites will itch a lot but would! Hand, is known for providing the moisturizing effect on the readers sons,..., Hsueh PR, surgeons and infectious disease specialists have to collaborate your might. Not got any scope to apply it so far feel better, but I just couldnt my!, other bug bites, spider bites and fly bites can lead to itching at bite. It can promote blood flow and wound healing is just one reason to see a doctor after an insect or... Herring, diverting attention away from whatever actually caused the skin video where Coyote Peterson is EATEN by! May make you feel better, but it can also cause an stemming! Minor surgery to drain them if bacteria gets into the bite blood and the infected part outdoor activities like and... Fluoroquinolone antibiotics such as as a coagulant during leech bites on Mueller-Hinton agar plates incubated at 37C in ambient., Gomes CM, de Morais OO, Gomes CM, Lai CC, Tang HJ, Ko,. Days, oral clindamycin antibiotic therapy was prescribed for 10 days, oral clindamycin antibiotic therapy with antibiotics. Times a day for 7 days make you feel better, but I just couldnt overcome my fear leeches.