1/11. Catfish spine envenomation: a case report and literature review.Catfish spine envenomations are common injuries, reported in both freshwater and saltwater. Such injuries are complex puncture wounds, often complicated by severe infection. signs and symptoms range from simple local pain and bleeding to systemic manifestations with hemodynamic compromise. Care and treatment involve aggressive pain management, judicious wound cleansing, prophylactic antibiotics, and close follow-up. A case of catfish spine envenomation from a freshwater catfish is presented here.- - - - - - - - - - ranking = 1keywords = puncture (Clic here for more details about this article) |
2/11. High-pressure injection injuries to the hand.High-pressure injection injury hides the true extent of the lesions behind an apparent small and harmless puncture of the finger or the hand. Through clinical description, we wish to point out the need for prompt treatment to avoid mutilating and function-threatening complications. We wish to outline the role of the emergency physician who must be aware of the incidence of high-pressure injection injury and become accustomed to early referral to a surgeon, experienced in extensive surgical exploration, removal of foreign bodies, and rehabilitation. The open-wound technique gives the best results. We also point out that failure to refer may become an increasing focus of negligence claims.- - - - - - - - - - ranking = 1keywords = puncture (Clic here for more details about this article) |
3/11. Puncture wound during CPR from sternotomy wires: case report and discussion of periresuscitation infection risks.Performing resuscitations presents multiple infectious risks to critical care providers. Potential sources for infection include direct contact with blood and other bodily fluids and possible inoculation through needlestick injuries. In this article, we present a case of a cardiac care unit nurse who, while providing cardiopulmonary resuscitation, suffered a puncture wound to her left hand from the patient's sternotomy wires from previous cardiac surgery. The patient died despite these resuscitation efforts. He was seronegative for human immunodefiency virus, hepatitis b, and hepatitis c, and the nurse's wound healed without complications. This is the first reported case of such an injury occurring during a resuscitation. It demonstrates how a subtle, invisible, and unrecognized physical risk could cause infection in critical care providers.- - - - - - - - - - ranking = 1keywords = puncture (Clic here for more details about this article) |
4/11. Catfish spine envenomation: a case of delayed presentation.Catfish spine envenomations can result in debilitating hand problems. Virulent bacteria may be introduced through a puncture wound. An offending organism may be difficult to culture, and a foreign body may be missed unless there is a high index of suspicion. The majority of cases present early and symptoms resolve within 3 months. We report a markedly delayed presentation and treatment of a catfish "finning" injury that resulted in chronic tenosynovitis to the hand. A review of the literature and current treatment recommendations are provided.- - - - - - - - - - ranking = 1keywords = puncture (Clic here for more details about this article) |
5/11. Piscine adult nematode invading an open lesion in a human hand.The first case of an adult, parasitic nematode entering an open lesion is reported. A female dracunculoid, Philometra sp., invaded a puncture wound in a fisherman's hand while he was filleting an infected carangidae fish, Caranx melampygus, in hawaii. This accidental infection represents a previously unrecognized risk in handling uncooked, infected fish.- - - - - - - - - - ranking = 1keywords = puncture (Clic here for more details about this article) |
6/11. Traumatic false aneurysm of the hand in hemophilia.An unusual case of traumatic false aneurysm following a puncture wound in the hand of a hemophiliac, despite factor viii replacement, demonstrates the necessity for careful evaluation of such patients when there is profuse and continued bleeding. Following surgical repair of the false aneurysm and the ulnar proper digital nerve of the thumb 17 days postinjury the patient had an uncomplicated recovery. Partial arterial laceration, the underlying pathology of this lesion, may be demonstrated by arteriography or surgical exploration.- - - - - - - - - - ranking = 1keywords = puncture (Clic here for more details about this article) |
7/11. hypocalcemia and "toxic" syndrome associated with streptococcal fasciitis.A 35-year-old man suffered a small puncture wound of the right hand and within four days had acute fasciitis of the right upper extremity. Cultures of wound and blood grew a group A beta-hemolytic streptococcus. Persistent hypocalcemia was recognized daily, and he died ten days after the injury in cardiac failure. Preliminary studies have shown that the organism elaborated two streptococcal pyrogenic exotoxins (SPE-C and a new exotoxin, SPE-D). It is suggested but not proven that the cause of the patient's "toxic" illness may have resulted from the action of these exotoxins.- - - - - - - - - - ranking = 1keywords = puncture (Clic here for more details about this article) |
8/11. Osseous foreign body reaction in the hand.We report a patient who sustained a puncture wound of the palm and developed an osteolytic metacarpal lesion probably due to an organic foreign body reaction caused by grass and wood.- - - - - - - - - - ranking = 1keywords = puncture (Clic here for more details about this article) |
9/11. tenosynovitis due to incense.A 16-year-old girl accidentally incurred a puncture wound on an incense cone. The incense, like other ligneous materials, irritated the soft tissue and predisposed the radial bursa of the forearm to infection. The infectious organisms produced gas that was visible on roentogenographic examination. This caused concern until to Clostridia could be found in the wound. The bursal opening, secondary closure, and antibiotics produced a satisfactory result.- - - - - - - - - - ranking = 1keywords = puncture (Clic here for more details about this article) |
10/11. hand injuries from sea urchin spines.Sea urchin spine injury is usually a benign process that rarely comes to the attention of a physician. Aside from the transient episode of excruciating pain which responds dramatically to hot water soaks, there is usually no residual disability. As in any puncture wound, tetanus prophylaxis and observation for latent infection is advised. Complications arise, however, when spines are embedded over bony prominences, within joints, or in contact with nerves. Cases are reported herein of the latter two problems occurring in the hand. A case of a neuropathy associated with sea urchin injuries has not been previously reported in the literature. When such injuries necessitate exploration, aseptic surgical technique is required.- - - - - - - - - - ranking = 1keywords = puncture (Clic here for more details about this article) |
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