1921
Volume 98, Issue 3
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645

Abstract

Abstract.

A 47-year-old man was stung on the left ankle by a stingray while on vacation on the Island of Bubaque, Guinea-Bissau. The affected limb was initially treated with an attempt to suck out the venom and application of chewed plant root. The following 3 days, local pain gradually diminished, but then high fever erupted together with generalized symptoms and intense pain from the ankle. After initiating antibiotic treatment, the patient was evacuated. Because of sustained symptoms and fever, the wound was surgically debrided, and culture revealed infection with oral flora bacteria. Attempts to suck out venom are not recommended.

Loading

Article metrics loading...

The graphs shown below represent data from March 2017
/content/journals/10.4269/ajtmh.17-0863
2018-01-22
2019-09-16
Loading full text...

Full text loading...

/deliver/fulltext/14761645/98/3/tpmd170863.html?itemId=/content/journals/10.4269/ajtmh.17-0863&mimeType=html&fmt=ahah

References

  1. Balhara KS, Stolbach A, , 2014. Marine envenomations. Emerg Med Clin North Am 32: 223243. [Google Scholar]
  2. Clark AT, Clark RF, Cantrell FL, , 2017. A retrospective review of the presentation and treatment of stingray stings reported to a poison control system. Am J Ther 24: e177e180. [Google Scholar]
  3. Meyer PK, , 1997. Stingray injuries. Wilderness Environ Med 8: 2428. [Google Scholar]
  4. Diaz JH, , 2008. The evaluation, management, and prevention of stingray injuries in travelers. J Travel Med 15: 102109. [Google Scholar]
  5. Suzuki T, Takada T, Fudoji J, , 2017. Traumatic pneumothorax associated with penetrating neck injury caused by a stingray: a case report. Wilderness Environ Med 28: 119121. [Google Scholar]
  6. O’Malley GF, O’Malley RN, Pham O, Randolph F, , 2015. Retained stingray barb and the importance of imaging. Wilderness Environ Med 26: 375379. [Google Scholar]
  7. Parra MW, Costantini EN, Rodas EB, Gonzalez PJ, Salamen OJ, Catino JD, Taber PM, Puente I, , 2010. Surviving a transfixing cardiac injury caused by a stingray barb. J Thorac Cardiovasc Surg 139: e115e116. [Google Scholar]
  8. Dehghani H, Sajjadi MM, Rajaian H, Sajedianfard J, Parto P, , 2009. Study of patient’s injuries by stingrays, lethal activity determination and cardiac effects induced by Himantura gerrardi venom. Toxicon 54: 881886. [Google Scholar]
  9. Junior VH, Cardoso JLC, Neto DG, , 2013. Injuries by marine and freshwater stingrays: history, clinical aspects of the envenomations and current status of a neglected problem in Brazil. J Venom Anim Toxins Trop Dis 19: 16. [Google Scholar]
  10. Hornbeak KB, Auerbach PS, , 2017. Marine envenomation. Emerg Med Clin North Am 35: 321337. [Google Scholar]
  11. Fino P, Onesti MG, Felli A, Scuderi N, , 2015. Clinical examination and treatment of a leg ulcer caused by a stingray puncture. Int J Low Extrem Wounds 14: 183186. [Google Scholar]
  12. Srinivasan S, Bosco J, Lohan R, , 2013. Marine stingray injuries to the extremities: series of three cases with emphasis on imaging. J Postgrad Med 59: 309. [Google Scholar]
  13. Barber GR, Swygert JS, , 2000. Necrotizing fasciitis due to Photobacterium damsela in a man lashed by a stingray. N Engl J Med 342: 824. [Google Scholar]
  14. Ho PL, Tang W-M, Lo KS, Yuen KY, , 1998. Necrotizing fasciitis due to Vibrio alginolyticus following an injury inflicted by a stingray. Scand J Infect Dis 30: 192193. [Google Scholar]
  15. Torrez PPQ, Quiroga MM, Said R, Abati PAM, França FOS, , 2015. Tetanus after envenomations caused by freshwater stingrays. Toxicon 97: 3235. [Google Scholar]
  16. Auerbach PS, , 2012. Wilderness Medicine, 6th edition. Philadelphia, PA: Elsevier/Mosby, 16291633.
  17. Alberts MB, Shalit M, LoGalbo F, , 2004. Suction for venomous snakebite: a study of “mock venom” extraction in a human model. Ann Emerg Med 43: 181186. [Google Scholar]
  18. Hønge BL, Hedegaard SK, Cederstrøm S, Nielsen H, , 2015. Hospital contacts after bite by the European adder (Vipera berus). Dan Med J 62: pii: A5022. [Google Scholar]
  19. Bush SP, , 2004. Snakebite suction devices don’t remove venom. Ann Emerg Med 43: 187188. [Google Scholar]
  20. Bitseff EL, Garoni WJ, Hardison CD, Thompson JM, , 1970. The management of stingray injuries of the extremities. South Med J 63: 417418. [Google Scholar]
  21. Dormon F, , 1985. Local nerve block after stingray injury. Lancet 326: 11311132. [Google Scholar]
  22. Dewhirst FE, Chen T, Izard J, Paster BJ, Tanner ACR, Yu W-H, Lakshmanan A, Wade WG, , 2010. The human oral microbiome. J Bacteriol 192: 50025017. [Google Scholar]
  23. Stevens DL, Bisno AL, Chambers HF, Dellinger EP, Goldstein EJC, Gorbach SL, Hirschmann JV, Kaplan SL, Montoya JG, Wade JC, , 2014. Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the Infectious Diseases Society of America. Clin Infect Dis 59: e10e52. [Google Scholar]
http://instance.metastore.ingenta.com/content/journals/10.4269/ajtmh.17-0863
Loading
/content/journals/10.4269/ajtmh.17-0863
Loading

Data & Media loading...

  • Received : 05 Nov 2017
  • Accepted : 10 Dec 2017
  • Published online : 22 Jan 2018

Most Cited This Month

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error