Infecções cutâneas e acidentes por animais traumatizantes e venenosos ocorridos em aquários comerciais e domésticos no Brasil: descrição de 18 casos e revisão do tema
Abstract:Infecções cutâneas e acidentes por animais traumatizantes e venenosos ocorridos em aquários comerciais e domés-ticos no Brasil: descrição de 18 casos e revisão do tema Resumo: FUNDAMENTOS -O aquarismo a cada dia ganha novos adeptos no Brasil. Impulsionado por belos peixes e objetos de decoração, o hábito pode trazer problemas como infecções e envenenamentos por diversos animais. OBJETIVOS -Demonstração dos animais causadores e dos quadros clínicos envolvidos com estes acidentes, das infecções cutâneas encontra… Show more
“…These accidents are caused by teeth capable of tearing, as in piranha bites, or by perforating teeth, such as venomous snakes, when they act as instruments of inoculation, and stings, bony structures common in the fish of the order Siluriformes (catfish and sorubins, among others). Most injuries occur in fishermen, who may require long recovery periods, remaining days without being able to work, causing them social and economic dificulties 3 .…”
Introduction: The fishes of continental Brazil have socioeconomic importance due to their potential for sport fishing and commercial and subsistence uses, as seen in the Upper Paraguay River Basin, particularly in the municipalities of the Pantanal region, where it is the second largest economic activity. Injuries caused in professional fishermen are common and poorly studied, as in other regions of the country. Methods: Data were obtained from questionnaires and interviews with 100 professional fishermen, 50 in each municipality, between December 2008 and October 2009. Results: All the fishermen reported some kind of injury caused by fish stings (78% of injuries) and fish, alligator and snake bites (22%) on the hands (46% of cases) and feet (35% of cases). Most of the patients had mild symptoms. The most severe cases were associated with secondary bacterial infections and required specific treatment and prolonged recovery associated with social and economic losses. Conclusions: The results of this study indicate that the stressful work conditions, inattention to basic preventive measures and carelessness were factors that contributed to accidents and that the toxicity and ability to inflict mechanical trauma of some aquatic species, plus the ineffective use of first aid and hospital treatment, contributed to the high morbidity and complications in many cases. Data from this study are relevant to the fishing communities of the Pantanal region, since they reveal high rates of accidents, lack of knowledge concerning first aid, initial treatment, injury prevention and lack of medical follow-up of the population.
“…These accidents are caused by teeth capable of tearing, as in piranha bites, or by perforating teeth, such as venomous snakes, when they act as instruments of inoculation, and stings, bony structures common in the fish of the order Siluriformes (catfish and sorubins, among others). Most injuries occur in fishermen, who may require long recovery periods, remaining days without being able to work, causing them social and economic dificulties 3 .…”
Introduction: The fishes of continental Brazil have socioeconomic importance due to their potential for sport fishing and commercial and subsistence uses, as seen in the Upper Paraguay River Basin, particularly in the municipalities of the Pantanal region, where it is the second largest economic activity. Injuries caused in professional fishermen are common and poorly studied, as in other regions of the country. Methods: Data were obtained from questionnaires and interviews with 100 professional fishermen, 50 in each municipality, between December 2008 and October 2009. Results: All the fishermen reported some kind of injury caused by fish stings (78% of injuries) and fish, alligator and snake bites (22%) on the hands (46% of cases) and feet (35% of cases). Most of the patients had mild symptoms. The most severe cases were associated with secondary bacterial infections and required specific treatment and prolonged recovery associated with social and economic losses. Conclusions: The results of this study indicate that the stressful work conditions, inattention to basic preventive measures and carelessness were factors that contributed to accidents and that the toxicity and ability to inflict mechanical trauma of some aquatic species, plus the ineffective use of first aid and hospital treatment, contributed to the high morbidity and complications in many cases. Data from this study are relevant to the fishing communities of the Pantanal region, since they reveal high rates of accidents, lack of knowledge concerning first aid, initial treatment, injury prevention and lack of medical follow-up of the population.
“…We registered intense pain, edema, erythema and, in one case, blisters, but the injuries did not pose risks of cardiovascular failure or death in our patients [12,13]. The most important symptoms were the local inflammation and severe pain.…”
Section: Discussionmentioning
confidence: 85%
“…The main symptom is the excruciating local pain, which may radiate throughout the root of the affected limb. The pain increases in 1 to 2 hours and typically persists for 6 to 12 hours [7-13]. Moreover, the painful process may last for weeks.…”
Section: Introductionmentioning
confidence: 99%
“…In some cases, it is possible to observe local cyanosis, paleness, vesicles and blisters. Rarely, the sting site presents skin necrosis [7-13]. …”
Section: Introductionmentioning
confidence: 99%
“…There is a classification of the severity of the envenomation caused by lionfish in three degrees of local effects, whereas degree I shows only erythema and edema (most injuries), degree II also presents vesicles and blisters and degree III is characterized by skin necrosis [7-13]. …”
Lionfish are venomous fish that belong to the Scorpaenidae family. Individuals of this family and those of the Synanceiidae family comprise most of the existing venomous fish in the world. Lionfish are originally found in the Indo-Pacific, but they have received special attention in the last years for their dissemination in the Atlantic Ocean, with the emergence of large populations in the USA, Caribbean and South America. Because of its beauty, this fish has always been present in private and commercial aquariums around the world. Herein, we describe 15 envenomations in aquarists registered in a period of eighteen years (1997–2014). The stings caused excruciating pain and marked inflammation, with local erythema, edema, heat, paleness and cyanosis. In one case, it was possible to observe vesicles and blisters. There were no skin necroses or marked systemic manifestations. We discuss the possible coming of the fish to South America and the circumstances and clinical impact of the envenomations.
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