ProCite
RefWorks
Reference Manager
BibTeX
Zotero
EndNote
-
1.
Balhara KS, Stolbach A, 2014. Marine envenomations. Emerg Med Clin North Am 32: 223–243.
-
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: e177–e180.
-
3.
Meyer PK, 1997. Stingray injuries. Wilderness Environ Med 8: 24–28.
-
4.
Diaz JH, 2008. The evaluation, management, and prevention of stingray injuries in travelers. J Travel Med 15: 102–109.
-
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: 119–121.
-
6.
O’Malley GF, O’Malley RN, Pham O, Randolph F, 2015. Retained stingray barb and the importance of imaging. Wilderness Environ Med 26: 375–379.
-
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: e115–e116.
-
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: 881–886.
-
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.
-
10.
Hornbeak KB, Auerbach PS, 2017. Marine envenomation. Emerg Med Clin North Am 35: 321–337.
-
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: 183–186.
-
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.
-
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.
-
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: 192–193.
-
15.
Torrez PPQ, Quiroga MM, Said R, Abati PAM, França FOS, 2015. Tetanus after envenomations caused by freshwater stingrays. Toxicon 97: 32–35.
-
16.
Auerbach PS, 2012. Wilderness Medicine, 6th edition. Philadelphia, PA: Elsevier/Mosby, 1629–1633.
-
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: 181–186.
-
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.
-
19.
Bush SP, 2004. Snakebite suction devices don’t remove venom. Ann Emerg Med 43: 187–188.
-
20.
Bitseff EL, Garoni WJ, Hardison CD, Thompson JM, 1970. The management of stingray injuries of the extremities. South Med J 63: 417–418.
-
21.
Dormon F, 1985. Local nerve block after stingray injury. Lancet 326: 1131–1132.
-
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: 5002–5017.
-
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: e10–e52.
| Past two years | Past Year | Past 30 Days | |
|---|---|---|---|
| Abstract Views | 895 | 688 | 20 |
| Full Text Views | 702 | 14 | 0 |
| PDF Downloads | 328 | 19 | 0 |
Case Report: Iatrogenic Infection from Traditional Treatment of Stingray Envenomation
Bo Langhoff Hønge
Bo Langhoff Hønge
Bandim Health Project, INDEPTH Network, Bissau, Guinea-Bissau;
Department of Clinical Immunology, Aarhus University Hospital, Aarhus, Denmark;
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Department of Clinical Immunology, Aarhus University Hospital, Aarhus, Denmark;
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Cecilie Blenstrup Patsche
Cecilie Blenstrup Patsche
Bandim Health Project, INDEPTH Network, Bissau, Guinea-Bissau;
GloHAU, Center for Global Health, School of Public Health, Aarhus University, Aarhus, Denmark;
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GloHAU, Center for Global Health, School of Public Health, Aarhus University, Aarhus, Denmark;
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Mads Mose Jensen
Mads Mose Jensen
Bandim Health Project, INDEPTH Network, Bissau, Guinea-Bissau;
Department of Clinical Immunology, Aarhus University Hospital, Aarhus, Denmark;
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Department of Clinical Immunology, Aarhus University Hospital, Aarhus, Denmark;
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Frederik Schaltz-Buchholzer
Frederik Schaltz-Buchholzer
Bandim Health Project, INDEPTH Network, Bissau, Guinea-Bissau;
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Thomas Baad-Hansen
Thomas Baad-Hansen
Department of Orthopedic Surgery, Aarhus University Hospital, Aarhus, Denmark;
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Christian Wejse
Christian Wejse
Bandim Health Project, INDEPTH Network, Bissau, Guinea-Bissau;
GloHAU, Center for Global Health, School of Public Health, Aarhus University, Aarhus, Denmark;
Department of Infectious Diseases, Aarhus University Hospital, Aarhus, Denmark
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GloHAU, Center for Global Health, School of Public Health, Aarhus University, Aarhus, Denmark;
Department of Infectious Diseases, Aarhus University Hospital, Aarhus, Denmark
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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.
Author Notes
Authors’ addresses: Bo Langhoff Hønge and Mads Mose Jensen, Department of Clinical Immunology, Aarhus Universitetshospital, Aarhus, Denmark, and Bandim Health Project, INDEPTH Network, Bissau, Guinea-Bissau, E-mails: bohonge@gmail.com and madsmose@gmail.com. Cecilie Blenstrup Patsche, Bandim Health Project, INDEPTH Network, Bissau, Guinea-Bissau, and GloHAU, Center for Global Health, School of Public Health, Aarhus Universitet, Aarhus, Denmark, E-mail: ceciliepatsche@live.dk. Frederik Schaltz-Buchholzer, Bandim Health Project, INDEPTH Network, Bissau, Guinea-Bissau, E-mail: fsbr@ssi.dk. Thomas Baad-Hansen, Department of Orthopedic Surgery, Aarhus Universitetshospital, Aarhus, Denmark, E-mail: thombaad@rm.dk. Christian Wejse, Department of Infectious Diseases, Aarhus University Hospital, Aarhus, Denmark, and Department of Global Health, Aarhus University, Aarhus, Denmark, E-mail: wejse@dadlnet.dk.
ProCite
RefWorks
Reference Manager
BibTeX
Zotero
EndNote
-
1.
Balhara KS, Stolbach A, 2014. Marine envenomations. Emerg Med Clin North Am 32: 223–243.
-
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: e177–e180.
-
3.
Meyer PK, 1997. Stingray injuries. Wilderness Environ Med 8: 24–28.
-
4.
Diaz JH, 2008. The evaluation, management, and prevention of stingray injuries in travelers. J Travel Med 15: 102–109.
-
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: 119–121.
-
6.
O’Malley GF, O’Malley RN, Pham O, Randolph F, 2015. Retained stingray barb and the importance of imaging. Wilderness Environ Med 26: 375–379.
-
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: e115–e116.
-
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: 881–886.
-
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.
-
10.
Hornbeak KB, Auerbach PS, 2017. Marine envenomation. Emerg Med Clin North Am 35: 321–337.
-
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: 183–186.
-
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.
-
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.
-
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: 192–193.
-
15.
Torrez PPQ, Quiroga MM, Said R, Abati PAM, França FOS, 2015. Tetanus after envenomations caused by freshwater stingrays. Toxicon 97: 32–35.
-
16.
Auerbach PS, 2012. Wilderness Medicine, 6th edition. Philadelphia, PA: Elsevier/Mosby, 1629–1633.
-
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: 181–186.
-
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.
-
19.
Bush SP, 2004. Snakebite suction devices don’t remove venom. Ann Emerg Med 43: 187–188.
-
20.
Bitseff EL, Garoni WJ, Hardison CD, Thompson JM, 1970. The management of stingray injuries of the extremities. South Med J 63: 417–418.
-
21.
Dormon F, 1985. Local nerve block after stingray injury. Lancet 326: 1131–1132.
-
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: 5002–5017.
-
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: e10–e52.
| Past two years | Past Year | Past 30 Days | |
|---|---|---|---|
| Abstract Views | 895 | 688 | 20 |
| Full Text Views | 702 | 14 | 0 |
| PDF Downloads | 328 | 19 | 0 |