Hand perforation caused by a Gafftopsail catfish (bagre marinus) in a fisherman from Northeastern Brazil

L. Farias, Rodrigo Pinto Lourenço, R. Neto
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Abstract

A 39-year-old male fisherman from Ceara State in Northeastern Brazil presented to the emergency room complaining of intense pain, edema, and bleeding in his left hand (Figure 1A-1B), He had a recent history of traumatism with hand perforation caused by the stinger of a gafftopsail catfish (Bagre marinus) (Figure 2A-2C). The injury occurred 4 hours prior when pulling his fishnet in the ocean. Right after the injury, the patient presented local pain and classified as eight in a visual analogue scale of pain. He denied systemic symptoms such as fever. On physical examination, he presented with two perforations separated by about 2 cm with slight bleeding (Figure 1A), local edema, and pain in his left hand (Figure 1B). Local cleansing of the lesion was performed. He was advised to apply warm compresses and used analgesics/anti-inflammatory drugs with the improvement of the inflammation. Systemic antibiotics were not necessary.
巴西东北部一名渔民的手部穿孔是由一条加夫托帆鲶鱼(bagre marinus)引起的
一名来自巴西东北部塞阿拉州的39岁男性渔民到急诊室就诊,主诉左手剧烈疼痛、水肿和出血(图1A-1B)。他最近有创伤史,手部穿孔是由一种钩桅鲶鱼(Bagre marinus)的毒刺造成的(图2A-2C)。受伤发生在4小时前他在海里拉渔网的时候。受伤后,病人出现局部疼痛视觉模拟疼痛等级为8级。他否认有发烧等全身症状。体格检查时,患者出现两个相距约2cm的穿孔,伴有轻微出血(图1A),局部水肿,左手疼痛(图1B)。对病变进行局部清洗。随着炎症的改善,建议患者进行热敷和使用镇痛/抗炎药物。不需要全身使用抗生素。
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