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-
1.
Diaz JH, 2008. The evaluation, management, and prevention of stingray injuries in travelers. J Travel Med 15: 102–109.
-
2.
Junior VH, Cardoso JL, 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 Incl Trop Dis 19: 16.
-
3.
Henn A, Pérignon A, Monsel G, Larréché S, Caumes E, 2016. Marine envenomations in returning French travellers seen in a tropical diseases unit, 2008–13. J Travel Med 23: tav022.
-
4.
Katzer RJ, Schultz C, Pham K, Sotelo MA, 2022. The natural history of stingray injuries. Prehosp Disaster Med 37: 350–354.
-
5.
Rensch GP, Elston DM, 2019. Aquatic antagonists: Stingray injury update. Cutis 103: 138–140.
-
6.
Diaz JH, 2014. Skin and soft tissue infections following marine injuries and exposures in travelers. J Travel Med 21: 207–213.
-
7.
Deng Y, Xu L, Chen H, Liu S, Guo Z, Cheng C, Ma H, Feng J, 2020. Prevalence, virulence genes, and antimicrobial resistance of Vibrio species isolated from diseased marine fish in South China. Sci Rep 10: 14329.
-
8.
Chibani CM, Roth O, Liesegang H, Wendling CC, 2020. Genomic variation among closely related Vibrio alginolyticus strains is located on mobile genetic elements. BMC Genomics 21: 354.
-
9.
Howard RJ, Bennett NT, 1993. Infections caused by halophilic marine Vibrio bacteria. Ann Surg 217: 525–531.
-
10.
Oliver JD, 2005. Wound infections caused by Vibrio vulnificus and other marine bacteria. Epidemiol Infect 133: 383–391.
-
11.
Gomez JM, Fajardo R, Patiño JF, Arias CA, 2003. Necrotizing fasciitis due to Vibrio alginolyticus in an immunocompetent patient. J Clin Microbiol 41: 3427–3429.
-
12.
Lee DY, Moon SY, Lee SO, Yang HY, Lee HJ, Lee MS, 2008. Septic shock due to Vibrio alginolyticus in a cirrhotic patient. Yonsei Med J 49: 329–332.
-
13.
Evans RJ, Davies RS, 1996. Stingray injury. J Accid Emerg Med 13: 224–225.
-
14.
Blaizot R, Desrousseaux G, Joly MP, Vie A, Lu X, Senchyna A, Oganov K, Marty C, Cissé H, Couppie P, 2019. Pseudoaneurysm following a freshwater stingray injury. J Eur Acad Dermatol Venereol 33: e356–e357.
-
15.
Bologna I, Baumberger M, Blondon M, Murith N, Aebischer-Perone S, 2023. High-flow arteriovenous fistula resulting from stingray injury. J Travel Med 30: taac098.
-
16.
van Helden EJ, Eefting D, Florie J, Verhagen HJ, Moelker A, 2015. Endovascular salvage of a false aneurysm of the posterior tibial artery caused by a stab from a stingray. Cardiovasc Intervent Radiol 38: 498–500.
| Past two years | Past Year | Past 30 Days | |
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| Abstract Views | 666 | 666 | 308 |
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Stingray Injury Complicated by Vibrio alginolyticus Wound Infection and Posterior Tibial Artery Pseudoaneurysm in a Returning Traveler
Amy Carroll
amy.carroll2@nhs.net
Amy Carroll
Hospital for Tropical Diseases, University College London Hospitals National Health Service Foundation Trust, London, United Kingdom;
Institute for Global Health, University College London, London, United Kingdom;
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Institute for Global Health, University College London, London, United Kingdom;
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Melissa Chowdhury
Melissa Chowdhury
Hospital for Tropical Diseases, University College London Hospitals National Health Service Foundation Trust, London, United Kingdom;
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Charlotte Zheng
Charlotte Zheng
Hospital for Tropical Diseases, University College London Hospitals National Health Service Foundation Trust, London, United Kingdom;
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Sorfina Ghazali
Sorfina Ghazali
Hospital for Tropical Diseases, University College London Hospitals National Health Service Foundation Trust, London, United Kingdom;
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Shara Palanivel
Shara Palanivel
Department of Clinical Microbiology, University College London Hospitals National Health Service Foundation Trust, London, United Kingdom;
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Steven L. Walker
Steven L. Walker
Hospital for Tropical Diseases, University College London Hospitals National Health Service Foundation Trust, London, United Kingdom;
Department of Dermatology, University College London Hospitals National Health Service Foundation Trust, London, United Kingdom;
Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, United Kingdom
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Department of Dermatology, University College London Hospitals National Health Service Foundation Trust, London, United Kingdom;
Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, United Kingdom
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Alex Kew
Alex Kew
Hospital for Tropical Diseases, University College London Hospitals National Health Service Foundation Trust, London, United Kingdom;
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ABSTRACT.
Stingray injury is common in temperate and tropical waters worldwide. The majority of injuries are minor and can be managed with simple first aid at the shoreline; however, serious complications can occur. We report a case of Vibrio alginolyticus wound infection, retained foreign body, and posterior tibial artery pseudoaneurysm after stingray envenomation in a returning traveler. The patient presented with severe pain and dysesthesia associated with a puncture wound in the left lower leg 1 week after injury in Seychelles. Clinician awareness of infection and trauma-related complications of stingray and other penetrating marine injuries is important.
Author Notes
Financial support: Payment of publication fees was supported by the
Current contact information: Amy Carroll, Melissa Chowdhury, Charlotte Zheng, Sorfina Ghazali, Steven L. Walker, and Alex Kew, Hospital for Tropical Diseases, University College London Hospitals National Health Service Foundation Trust, London, United Kingdom, E-mails: amy.carroll2@nhs.net, melissa.chowdhury@nhs.net, charlotte.zheng@nhs.net, sofina.ghazali1@nhs.net, steve.walker@lshtm.ac.uk, and a.kew@nhs.net. Shara Palanivel, University College London Hospitals Clinical Microbiology and Virology Department, University College London Hospitals National Health Service Foundation Trust, London, United Kingdom, E-mail: shara.palanivel@nhs.net.
ProCite
RefWorks
Reference Manager
BibTeX
Zotero
EndNote
-
1.
Diaz JH, 2008. The evaluation, management, and prevention of stingray injuries in travelers. J Travel Med 15: 102–109.
-
2.
Junior VH, Cardoso JL, 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 Incl Trop Dis 19: 16.
-
3.
Henn A, Pérignon A, Monsel G, Larréché S, Caumes E, 2016. Marine envenomations in returning French travellers seen in a tropical diseases unit, 2008–13. J Travel Med 23: tav022.
-
4.
Katzer RJ, Schultz C, Pham K, Sotelo MA, 2022. The natural history of stingray injuries. Prehosp Disaster Med 37: 350–354.
-
5.
Rensch GP, Elston DM, 2019. Aquatic antagonists: Stingray injury update. Cutis 103: 138–140.
-
6.
Diaz JH, 2014. Skin and soft tissue infections following marine injuries and exposures in travelers. J Travel Med 21: 207–213.
-
7.
Deng Y, Xu L, Chen H, Liu S, Guo Z, Cheng C, Ma H, Feng J, 2020. Prevalence, virulence genes, and antimicrobial resistance of Vibrio species isolated from diseased marine fish in South China. Sci Rep 10: 14329.
-
8.
Chibani CM, Roth O, Liesegang H, Wendling CC, 2020. Genomic variation among closely related Vibrio alginolyticus strains is located on mobile genetic elements. BMC Genomics 21: 354.
-
9.
Howard RJ, Bennett NT, 1993. Infections caused by halophilic marine Vibrio bacteria. Ann Surg 217: 525–531.
-
10.
Oliver JD, 2005. Wound infections caused by Vibrio vulnificus and other marine bacteria. Epidemiol Infect 133: 383–391.
-
11.
Gomez JM, Fajardo R, Patiño JF, Arias CA, 2003. Necrotizing fasciitis due to Vibrio alginolyticus in an immunocompetent patient. J Clin Microbiol 41: 3427–3429.
-
12.
Lee DY, Moon SY, Lee SO, Yang HY, Lee HJ, Lee MS, 2008. Septic shock due to Vibrio alginolyticus in a cirrhotic patient. Yonsei Med J 49: 329–332.
-
13.
Evans RJ, Davies RS, 1996. Stingray injury. J Accid Emerg Med 13: 224–225.
-
14.
Blaizot R, Desrousseaux G, Joly MP, Vie A, Lu X, Senchyna A, Oganov K, Marty C, Cissé H, Couppie P, 2019. Pseudoaneurysm following a freshwater stingray injury. J Eur Acad Dermatol Venereol 33: e356–e357.
-
15.
Bologna I, Baumberger M, Blondon M, Murith N, Aebischer-Perone S, 2023. High-flow arteriovenous fistula resulting from stingray injury. J Travel Med 30: taac098.
-
16.
van Helden EJ, Eefting D, Florie J, Verhagen HJ, Moelker A, 2015. Endovascular salvage of a false aneurysm of the posterior tibial artery caused by a stab from a stingray. Cardiovasc Intervent Radiol 38: 498–500.
| Past two years | Past Year | Past 30 Days | |
|---|---|---|---|
| Abstract Views | 666 | 666 | 308 |
| Full Text Views | 18 | 18 | 13 |
| PDF Downloads | 18 | 18 | 12 |