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Case Report: Iatrogenic Infection from Traditional Treatment of Stingray Envenomation

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  • 1 Bandim Health Project, INDEPTH Network, Bissau, Guinea-Bissau;
  • 2 Department of Clinical Immunology, Aarhus University Hospital, Aarhus, Denmark;
  • 3 GloHAU, Center for Global Health, School of Public Health, Aarhus University, Aarhus, Denmark;
  • 4 Department of Orthopedic Surgery, Aarhus University Hospital, Aarhus, Denmark;
  • 5 Department of Infectious Diseases, Aarhus University Hospital, Aarhus, Denmark

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

Address correspondence to Bo Langhoff Hønge, Department of Clinical Immunology, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, Aarhus 8200, Denmark. E-mail: bohonge@gmail.com

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.

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