This case illustrates the challenges in the diagnosis and treatment of chronic tenosynovitis caused by stonefish envenomation injury. Persistence of symptoms can be secondary to an indolent infection, retained micro-foreign bodies, or persistence inflammatory response to verrucotoxin. Successful treatment was obtained with serial debridement coupled with a prolonged antibiotic regimen for coverage of the marine base pathogens.
Level of Evidence:
Level IV
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