In one of these c … | J Hand Surg Am. Correspondence to Culturing and sensitivity testing of the organisms in these situations is strongly advisable to initiate specific therapy. Share cases and questions with Physicians on Medscape consult. 2013 Sep. 9(3):282-6. [Medline]. J Med Microbiol. Of note, Aeromonas is often resistant to penicillins and cephalosporins.
Brooke CJ, Riley TV. However, superficial skin infections resulting from catfish stings are likely to be caused by Gram-negative organisms, including Enterobacteriaceae. PubMed Google Scholar. [Full Text]. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Keio J Med. Auerbach PS, Hays JT. The suspicion arose because in addition to the positive wound cultures for these organisms, the patient’s condition worsened after outpatient therapy with amoxicillin-clavulanate, to which M. morganii was resistant, and improved only after having received broad spectrum Gram-negative coverage with tobramycin and ciprofloxacin, which are antibiotics that target both bacteria. 2008 Summer. One way to handle a live catfish out of water is to grasp it behind the pectoral fins, keeping the dorsal spine pressed down with the palm of the hand . Two cases of serious infection following catfish spine-related injuries are presented, and the literature on this topic is reviewed. J Am Acad Dermatol. Lippmann JM, Fenner PJ, Winkel K, Gershwin LA. Epub 2017 Dec 29.
Catfish spine envenomation: a case of delayed presentation. Generally, the use of a first-generation cephalosporin is appropriate for empirical therapy. Erysipelothrix rhusiopathiae: bacteriology, epidemiology and clinical manifestations of an occupational pathogen. 10.1016/j.foodcont.2006.10.003. Am J Dermatopathol. Google Scholar. Ictaluridae are freshwater catfish that generally inhabit stagnant and dirty waters, potentially increasing the risk of infection. Skin hazards of the marine aquarium industry. Manos J, Belas R: The Genera Proteus, Providencia, and Morganella. 2013 Mar. Initial treatment also includes prompt administration of tetanus prophylaxis and empiric antibiotics to cover Aeromonas and Vibrio strains in freshwater and saltwater accidents, respectively. Laboratory studies revealed elevated white blood count, sedimentation rate, and C-reactive protein. These proteinaceous substances may coat the spine and become passively introduced into the wound upon skin breach . Hydrogen peroxide immersion of his right thumb and wet to dry dressings were used for wound care. Although envenomation and secondary infection are not uncommon sequelae of handling catfish, the present case is unique by virtue of the infecting organisms isolated. Given the prevalence of injury from catfish stings, a review of the literature is presented in order to provide recommendations for prevention and treatment of catfish envenomation.
Vital signs demonstrated a temperature of 96.9°F (36.1°C), pulse of 62 beats per minute, respiratory rate of 18, and blood pressure of 112/71mmHg. A second source of toxins, crinotoxins, is released by the epidermal cells of catfish skin upon agitation. volume 7, Article number: 122 (2013) Irukandji syndrome: a widely misunderstood and poorly researched tropical marine envenoming.
PubMed | Of interest, neither Gram-positive bacteria nor fungi were detected in these samples, which included 13 different Enterobacteriaceae, the least frequent of which was Proteus species. Catfish venom consists of hemolytic, dermonecrotic, edema-producing, and vasospastic factors, all of which have shown to be heat, pH, and lyophilization labile . 10.1097/00005373-199110000-00024.
He had picked up a live channel catfish (I. punctatus) from a fish tank with his ungloved right hand, after which he was stung in the right nail groove of his thumb by the spine of the catfish. We report a case of catfish envenomation characterized by abscess formation and cellulitis, in which wound cultures grew these unusual organisms.
These sharp spines may penetrate skin, in the process damaging the delicate integumental sheath and exposing the venom glands. Am J Kidney Dis. Diving With Stingrays Safely and What to Do if Stung. Marine catfish sting causing fatal heart perforation in a fisherman. Some antibiotics can cause sensitivity to the sun, so a sunscreen (at least SPF 30) is also recommended for use with such antibiotics. 2005, 13 (4): 243-253. Google Scholar. Winter C, Hein T, Kavka G, Mach RL, Farnleitner AH: Longitudinal changes in the bacterial community composition of the Danube River: a whole-river approach. Actas Urol Esp. Catfish stings in Mississippi. Gary Huang. © 2020 BioMed Central Ltd unless otherwise stated. 1991 Mar;16(2):318-21. doi: 10.1016/s0363-5023(10)80119-4. Please enable it to take advantage of the complete set of features! Acute renal failure after a sea anemone sting. A 52-year-old immunocompetent Chinese-American man with no significant past medical history, including an absence of chronic diseases, was injured while handling a catfish 10 days prior to admission while working as a fishmonger in a New York City supermarket.
Irrigation, exploration, and culture of these wounds as well as immunization of the patient against tetanus are recommended. Google Scholar, Junqueira MEP: Bacterial contamination of the catfish (Cathorops agassizii – Valenciennes, 1839 and Genidens genidens – Agassiz, 1829) sting. Initially, a broad-spectrum antibiotic should be selected. Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. J Hand Surg Am. [Medline]. Of note, Aeromonas is often resistant to penicillins and cephalosporins. 2009 Nov. 61(5):733-50; quiz 751-2. In vitro activity of trimethoprim and sulfamethoxazole against the nontuberculous mycobacteria. Terms and Conditions,
Antibiotics are used for the prevention of infection (eg, patient experienced a penetrating injury, foreign body was inoculated into the wound) or for the treatment of a clinically apparent infection. Malays Fam Physician. Google Scholar. Plain radiographs should be done to evaluate for foreign material and gas in the wound. J Emerg Med. Pain associated with a catfish sting may be relieved with one to two acetaminophen ( Tylenol) every four hours and/or one to two ibuprofen ( Motrin, Advil) every six to eight hours. It has been found to be effective in some nontuberculotic mycobacterial infections. The patient was initially treated with intravenous tobramycin, oral tetracycline, and intravenous ampicillin-sulbactam. 62(6):514-7.
Wound cultures obtained by his primary care physician grew many Proteus vulgaris and Morganella morganii. Some authors recommend sulfonamide alone or in combination with trimethoprim; others used minocycline, doxycycline, tetracycline, or cefoxitin. However, disabling sequelae including amputation of the affected body part due to severe tissue necrosis and death have been reported . Table 1 shows the antimicrobial susceptibility data of the two case isolates. [Medline]. [Full Text]. Ann Allergy. Toxicon. 19(2):114-8. Michael J Wells, MD, FAAD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Dermatology, American Medical Association, Texas Medical AssociationDisclosure: Nothing to disclose. 2010 Nov-Dec;100(6):493-6. doi: 10.7547/1000493. 2017 Sep. 47 (3):155-158. A copy of the written consent is available for review by the Editor-in-Chief of this journal. 13 Dangerous Fish and Sea Animals. A MEDLINE search over the past 30 years identified only two other case reports of M. morganii infection following catfish envenomation . 1989 Jun. If a catfish sting becomes infected, it can be treated with antibiotics. William D James, MD Paul R Gross Professor of Dermatology, Vice-Chairman, Residency Program Director, Department of Dermatology, University of Pennsylvania School of Medicine NIH Get the latest public health information from CDC: https://www.coronavirus.gov. By using this website, you agree to our Chow SP, Stroebel AB, Lau JH, Collins RJ: Mycobacterium marinum infection of the hand involving deep structures. Toxins (Basel). Wallace RJ Jr, Wiss K, Bushby MB, Hollowell DC.
Clipboard, Search History, and several other advanced features are temporarily unavailable. 23(7):503-8. Triamcinolone topical treats inflammatory dermatoses responsive to steroids. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. NLM
Corticosteroids are used to alleviate local inflammation and accompanying pruritus or pain.
Isbister GK. Several topical steroids are available. For moderate to severe infections, one of the following combinations constitutes a reasonable empirical regimen: (1) a tetracycline and a broad-spectrum, beta-lactamase-stable beta-lactam antibiotic, or (2) a tetracycline, a beta-lactamase-stable penicillin, and an aminoglycoside.
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