1. Compartment Syndrome and Wrist Disarticulation After a Catfish Sting.
- Author
-
Carroll CJ, Sumarriva G, Lavie L, Sugalski C, Sisco-Wise L, and Dunbar R
- Subjects
- Animals, Disarticulation adverse effects, Humans, Male, Middle Aged, Wrist, Bites and Stings complications, Bites and Stings surgery, Catfishes, Compartment Syndromes etiology
- Abstract
Catfish have the ability to inflict stings on their victims through spines located on their dorsal and pectoral fins. The stings of catfish can release toxins that have dermonecrotic, edemogenic, and vasospastic factors. In this case, a 56-year-old man suffered a catfish sting to his right thumb, which resulted in acute hand compartment syndrome and resultant hand fasciotomies. His hospital course was complicated by multiple irrigation and debridements, finger amputations, hand fluid cultures positive for Vibrio damsela , and eventual wrist disarticulation. The combination of envenomation, infection, and delayed presentation for treatment ultimately led to a hand amputation.
- Published
- 2022
- Full Text
- View/download PDF