Clinical Considerations in Initial Evaluation and Treatment of Hardhead Catfish Spine Puncture Wounds
| Autor: | Mark A. Newberry, Hannah Gordon, Benjamin J. Cousins, David A. Farcy |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
animal structures Radiography Case Report First metacarpal 03 medical and health sciences 0302 clinical medicine Hardhead catfish medicine 030222 orthopedics biology RC86-88.9 business.industry fungi Left thumb Medical emergencies. Critical care. Intensive care. First aid 030208 emergency & critical care medicine Hand surgery General Medicine biology.organism_classification medicine.disease Surgery Spine (zoology) Foreign body business Catfish |
| Zdroj: | Case Reports in Emergency Medicine Case Reports in Emergency Medicine, Vol 2021 (2021) |
| ISSN: | 2090-6498 2090-648X |
| DOI: | 10.1155/2021/8841234 |
| Popis: | A 17-year-old male presented to our ED complaining of pain and swelling at the base of the first metacarpal after attempting to remove a catfish from his fishing line 12 hours prior to arrival. Radiographic images demonstrated a foreign body (FB), which was detectable by ultrasound. Hand surgery was consulted and took the patient to the operating room for exploration and removal of two serrated radiopaque catfish spines that were deeply embedded in the left thumb. Conclusion. Penetrating injury from hardhead catfish (Ariopsis felis) spines can cause hidden FB, envenomation, infection, and secondary damage to nearby structures. Imaging should be done for these patients to ensure they obtain timely and complete extraction of the venomous structures. Surgery should be consulted for operative management to avoid damage on removal of the catfish spine remnants. |
| Databáze: | OpenAIRE |
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