Thermal immersion in managing greater weever sting: A case study on delayed recovery.

Erim Eyinç, Lercan Aslan, Erdinç Gökdemir, Emrah Çalışkan
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Abstract

We report the case of a 49-year-old woman who suffered an envenomation from a greater weever during a seaside vacation along the Aegean coast in Izmir, Türkiye. Following the incident, she experienced intense pain and sought treatment at an emergency department, where she received analgesics and cold compresses. Unfortunately, this approach failed to alleviate her pain, which persisted for approximately 24 hours. On the twelfth day, with symptoms worsening and the emergence of a larger wound than the one sustained on the day of the incident, she visited the University Hospital for further care, where she received periodic wound cleaning and a six-week antibiotic treatment regimen for possible osteomyelitis after suspicious findings on her Magnetic Resonance Imaging. The standard treatment for piscine envenomation involves hot water immersion to neutralize thermolabile toxins, providing pain relief and preventing subsequent complications. The water temperature should be between 40 and 45 degrees Celsius, and the affected body part should be immersed for at least 60 minutes. This case underscores the critical nature of hot water immersion in managing envenomation, a step which, if omitted, can result in extended pain duration and the evolution of a wound requiring over five months to heal.

热浸泡治疗大黄蜂蛰伤:延迟康复案例研究
我们报告了一例 49 岁女性的病例,她在土耳其伊兹密尔的爱琴海沿岸海边度假时被大鼬獾咬伤。事发后,她感到剧烈疼痛,并到急诊科就诊,接受了止痛药和冷敷。不幸的是,这种方法未能缓解她的疼痛,疼痛持续了大约 24 小时。第十二天,由于症状加重,伤口比事发当天更大,她前往大学医院接受进一步治疗,在磁共振成像检查中发现可疑情况,于是接受了定期清洗伤口和为期六周的抗生素治疗方案,以应对可能的骨髓炎。鱼类中毒的标准治疗方法是用热水浸泡,以中和热溶性毒素,缓解疼痛并预防后续并发症。水温应在 40 至 45 摄氏度之间,受影响的身体部位应浸泡至少 60 分钟。这个病例强调了热水浸泡在处理毒液中毒中的重要性,如果省略了这一步骤,可能会导致疼痛持续时间延长,伤口需要五个月以上才能愈合。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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