Lesiones por animal ponzoñoso, raya de agua dulce: serie de casos

Abstract

Introduction

The toxin produced by the freshwater stingray has a histolytic, anaphylactic and highly painful effect.

Objective

To present a series of clinical cases of accident with a poisonous animal, the stingray, and its clinical and epidemiological characterization.

Results

32 study series, 87,50% male and 12,50% female, age range 7-74 years, mean was 40,59 years, 59,38% were from rural areas and 40,62% urban, 34,37% consulted in the first 24 hours after the event, from one day to seven days 6,25%, from seven to 15 days 15,62%, and more than 15 days 43,75%, lesion in foot 53,13%, in neck of foot 21,87%, in leg 25%, symptoms presented: pain 100%, 71,87% signs of local infection, 59,37% purulent discharge, 56,25% lesion with necrosis. Complications: 9,37% compartment syndrome, 43,75% abscess, 12,50% osteomyelitis, 59,37% coverage defect. The range of surgical procedures performed per patient was 1-7. Isolation 83,33% gram negative, 93,75% in-hospital management and 6,25% were referred due to the severity of the lesions, mortality in this study was 3,12%.

Conclusion

Fluvial stingray causes serious lesions in lower limbs that cause prolonged hospital stays, multiple surgical procedures, large coverage defects that merit the investment of high-tech materials and reconstructive plastic surgery.