Hallux amputation after a freshwater stingray injury in the Brazilian Amazon

Monteiro, Wuelton Marcelo; Oliveira, Sâmella Silva de; Sachett, Jacqueline de Almeida Gonçalves; Silva, Iran Mendonça da; Ferreira, Luíz Carlos de Lima; Lacerda, Marcus Vinícius Guimarães

doi:10.1590/0037-8682-0333-2015

Cited by 9 publications

(6 citation statements)

References 10 publications

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“…The proteolytic action of Bothrops venom is a result of the activity of metalloproteases, hyaluronidases, and phospholipases, combined with release of inflammatory mediators 19. Necrosis and secondary infection may be severe, leading to functional impairment of the affected limb or amputation 20,21…”

Section: Discussionmentioning

confidence: 99%

“…19 Necrosis and secondary infection may be severe, leading to functional impairment of the affected limb or amputation. 20,21 Studies have shown that microorganisms such as group D Streptococcus, Enterobacter sp, Providencia rettgeri, Providencia sp, Escherichia coli, Morganella morganii, Clostridium sp, and Bacteroides sp are often found in the oral microbiota of Bothrops snakes. 18 These pathogens have also been isolated in abscesses caused by a Bothrops snakebite.…”

Section: Discussionmentioning

confidence: 99%

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Treatment of a Snakebite Injury With Secondary Bacterial Infection

Sachett

Vieira

Soares

et al. 2023

Journal of Wound, Ostomy &Amp; Continence Nursing

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BACKGROUND:Pit viper snakebites are challenging as they often cause tissue injury and secondary bacterial infection that may impair full recovery of the affected limb. We describe the evolution of a snakebite injury with secondary infection and the use of specialized dressings to achieve tissue repair and complete closure of the wound. CASE: Ms E., a 45-year-old woman, was bitten by a pit viper that began as a small lesion and progressed to necrosis, cellulitis, edema, and hyperemia of the perilesional skin, local inflammation, and infection. We implemented a combination of topical hydrogel therapy with calcium alginate and hydrofiber with 1.2% silver to promote autolytic debridement, combat local infection, and provide a moist wound environment. The wound required daily local treatment for 2 months due to extensive tissue damage, combined with the proteolytic action of the bothropic venom. CONCLUSION: The care of wounds caused by snakebites is a challenge for the health care team due to tissue loss resulting from the action of the venom and secondary bacterial infection. Close follow-up with the use of systemic antibiotics and topical therapies proved effective in minimizing tissue loss in this case.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Treatment of a Snakebite Injury With Secondary Bacterial Infection

Sachett

Vieira

Soares

et al. 2023

Journal of Wound, Ostomy &Amp; Continence Nursing

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“… 2 Since these injuries are mostly seen in young people and ulcerated lesions can heal in 2-3 months, they cause morbidity and increase health costs and loss of work. 3 …”

Section: Introductionmentioning

confidence: 99%

A technical trick for extracting a stingray spine from hand: a case report

Akar¹,

Ulus²,

Durgut³

et al. 2022

AOTT

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Injuries from stingray fish are among the most common fish stings, and their frequency is increasing with the increase in global tourism. It most commonly causes injuries to the extremities and causes morbidity if not treated appropriately. Less commonly, life-threatening injuries can be observed due to injuries in the thorax and abdomen and damage to large vessels and vital organs. In addition to severe pain, tissue necrosis, and secondary infection after injury, systemic symptoms may occur. Since these injuries can occur in both fresh and salt water, it is possible to encounter such a case at any time. Flat spines are sharp, with backward barbs or serrations that make them difficult to extract once they penetrate tissue. After first aid, surgical extraction of the stingray spine with minimal damage is essential in addition to local and systemic treatments. In the literature, there are studies on envenomation and other systemic findings after stingray spine injuries, but few publications are available on the stingray spine extracted technique after injury. This case report presents a new and helpful technique for stingray spine extraction.

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“…Stingrays, in particular, also known as rays, are cartilaginous fish (Chondrichthyes) and are found in freshwater (rivers, lakes) as well as marine environments 4 . These are characterized by their flattened body dorsoventrally, with eyes located dorsally and the mouth and gill slits ventrally, and one or more retroserilla tail stingers surrounded by an integument containing toxinsecreting cells 5 .…”

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confidence: 99%

“…Complications such as amputation of fingers, hands and feet may also occur 3,5 . Less frequent are fatal cases caused by freshwater and marine stingrays, resulting from immediate penetrating chest trauma or delayed cardiac tamponade, cervical lacerations with airway compromise, vascular injury with hemorrhagic shock, gangrene wound infections and septic shock 7 .…”

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confidence: 99%

Accident and vascular injury with stingray in the Alto Juruá, Acre, Brazil: a case report

Holanda

Câmara

Silva

et al. 2019

jhgd

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Introduction: Fish accidents, called ichthyism, are common and considered a neglected health problem with high morbidity and low lethality. Noteworthy are the poisonings by freshwater stingrays, which are considered very serious and one of the most important injuries caused by aquatic animals in South America. Case Presentation: To describe an accident and vascular injury with venomous stingray animals in the Alto do Juruá, Acre, Brazil. Male patient admitted due to stingray in the left lower extremity 20 days ago. Conclusion: The freshwater stingray, due to its sharp characteristics, injured the great saphenous vein, requiring surgical intervention. The situation presented negative evolution due to the lack of necessary procedures in the first attendance, such as the proper cleaning of the wound and the removal of the sting.

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Hallux amputation after a freshwater stingray injury in the Brazilian Amazon

Cited by 9 publications

References 10 publications

Treatment of a Snakebite Injury With Secondary Bacterial Infection

Treatment of a Snakebite Injury With Secondary Bacterial Infection

A technical trick for extracting a stingray spine from hand: a case report

Accident and vascular injury with stingray in the Alto Juruá, Acre, Brazil: a case report

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