1/16. A stingray injury in a devotee of aquarium fishes.The stingray is one of the most dangerous fishes for man. The sting is poisonous and causes a painful wound. Fatalities are reported. Most injuries due to stingrays occur in coast regions of the tropics and subtropics. Therefore, physicians in countries with a moderate climate are less informed about the management about these kinds of injuries. The characteristics, treatment and prevention are discussed in connection with a case that occurred in belgium in a devotee of aquarium fishes.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
2/16. Avian mite bites acquired from a new source--pet gerbils: report of 2 cases and review of the literature.BACKGROUND: Cutaneous manifestations of avian mite bites are not well recognized by physicians or patients. Clinical signs and symptoms are usually caused by bites from avian mites that have infested domestic poultry or birds nesting in or near human habitation. This report details 2 cases of pruritic papules acquired from avian mites that had infested pet gerbils and reviews the dermatologic literature about avian mites. OBSERVATIONS: An 11-year-old boy and an unrelated 10-year-old girl each had mysterious, pruritic papules for many months before their pet gerbils were found to be infested with Ornithonyssus sylviarum (the northern fowl mite) and Dermanyssus gallinae (the chicken mite), respectively. Symptoms resolved when the gerbils were removed from the home. CONCLUSIONS: Because infestation of pet gerbils with avian mites has never been reported, cases of avian mite bites and dermatitis may have gone unrecognized or misdiagnosed. Inquiry about ownership of pet gerbils may be helpful in patients with mysterious bites.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
3/16. A case of jellyfish sting.Jellyfish sting may result in a wide range of symptoms from common erythematous urticarial eruptions to the rare box-jelly induced acute respiratory failure. In taiwan, with the increasing frequency of international travel, cases of jellyfish sting to foreigners are on the rise. We report a case of jellyfish sting with the rare presentation of painless contact dermatitis. A 38-y-o man accidentally stepped on a sea urchin with his right foot during scuba diving in a beach in thailand. Traditional therapy with vinegar was applied on the lesion. However, when he returned to taiwan, erythematous patches on the left thigh with linear radiations to the leg were discovered. The skin lesions had bizzare shapes and showed progressive change. No pain or numbness was noticed. Jellyfish stingwas suspected, topical medications were applied, and the patient recovered without complication. Jellyfish stings usually result in a painful erythematous eruption. In this case, though the lesion involved a large surface, there was no pain. delayed diagnosis of jellyfish sting was due to the atypical presentation and the physician's unfamiliarity to the Thai jellyfish sting. awareness to the wide spectrum of jellyfish sting symptoms should be promoted.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
4/16. Severe human urticaria produced by ant (Odontomachus bauri, Emery 1892) (hymenoptera: Formicidae) venom.BACKGROUND: Ant sting reactions are becoming an increasing problem in tropical countries. It is important for physicians to be aware of their possible cutaneous and systemic manifestations. methods: A child with a severe allergic reaction to an ant sting was examined and is discussed. This is the first case described in the literature caused by the ant Odontomachus bauri, and the biology of the ant and the clinical signs in the patient are described. RESULTS: A child developed a strong allergic reaction to an ant sting. The case was not associated with a previous ant sting. Treatment with the systemic antihistamine loratadine (Clarityn) was favorable in this patient. CONCLUSIONS: In tropical areas, ant stings are usually benign, self-limited pathologic processes. In some cases, however, severe allergic reactions can develop, including urticaria and anaphylactic shock. physicians should be aware of the possible complications of ant stings.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
5/16. Moray eel attack in the tropics: a case report and review of the literature.As more people use the oceans for recreational purposes, encounters with potentially dangerous sea creatures are becoming more common. We report the case of a scuba diver bitten by a moray eel off the coast of cuba. The diver received an extensive crush avulsion injury with near loss of his right upper arm. A review of the existing literature identifies the significant characteristics of such attacks. Given the potential seriousness and complications of these attacks, a greater awareness among both treating physicians and emergency personnel may improve overall management of injuries. In addition, greater respect for moray eels among divers and other ocean users may decrease the likelihood of serious eel encounters.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
6/16. Toxic shock syndrome in an adult male secondary to puncture wound.The finding of toxic shock syndrome (TSS) is a rare, potentially fatal illness that physicians often associate with young, menstruating females. However, TSS is not exclusively a disease of females. We report the unusual case of an adult male patient who presented to the Emergency Department at Ruby Memorial Hospital in Morgantown with toxic shock syndrome secondary from a fish tooth suffered while trout fishing. The diagnostic features of TSS and treatment are also discussed in this article.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
7/16. The emergency management of moray eel bites.As human encounters with hazardous marine life increase, emergency physicians are more frequently confronted with the management of resultant injuries. We present three cases involving hand injuries inflected by moray eels. Each was managed with local wound care and subsequent outpatient treatment with either oral ciprofloxacin or cefuroxime. One patient had mild residual hand dysfunction, and no patient developed wound infection. To better assess the bacteriology of such injuries, oral cultures were taken from captive moray eels and surrounding aquarium water. Culture and sensitivity analyses showed vibrio and pseudomonas to be the predominant species, both sensitive to ciprofloxacin, cefuroxime, tetracycline, and trimethoprim-sulfamethoxazole. We conclude that moray eel bites can be managed successfully with aggressive, local wound care and antibiotic coverage that targets vibrio and pseudomonas species.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
8/16. Mauling by pit bull terriers: case report.A child with extensive soft-tissue defects following an attack by four pit bull terriers is presented. Some future procedures are required and she will have a permanent gait disability. The multidisciplinary management of this patient is described. The escalating problem of dog attacks in the united states is discussed. It is hoped that increased physician and public awareness will expedite the enactment and enforcement of effective vicious-dog legislation.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
9/16. erythema nodosum following a jellyfish sting.At least 100 of the approximately 9,000 species of coelenterates are dangerous to humans. The most common syndrome following an envenomation is an immediate intense dermatitis, with characteristic skin discoloration, local pain, and systemic symptoms. In this case report, we describe a case of erythema nodosum with articular manifestations following envenomation with an unknown jellyfish. Serological testing of the victim revealed marked elevation of immunoglobulins G and M directed against Physalia physalis, the Portuguese man-of-war. The patient's condition did not respond to conventional topical therapy for coelenterate envenomation, but was successfully managed with systemic corticosteroid therapy. This case demonstrates that the emergency physician should consider a delayed reaction to a marine envenomation in any victim who presents with an acute dermatological disease following immersion in marine coastal waters.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
10/16. Dysgonic Fermenter-type 2: an emerging zoonosis. Report of two cases and review.We report Dysgonic Fermenter-type 2 septicaemia presenting in two previously healthy individuals, and review 52 cases of infection with Dysgonic Fermenter-type 2 reported in the English language literature. This zoonosis is usually acquired through contact with dogs and cats. Infection often presents with little warning to patient or physician and carries a high mortality. The immunosuppressed patient, those without a spleen, alcoholics and those with chronic disease appear to be most susceptible, although the healthy individual is also prone to infection. The infection is probably underdiagnosed due to difficulties in isolating Dysgonic Fermenter-type 2 by conventional blood culture techniques. Clinical and microbiological awareness is of prime importance in the early diagnosis of this potentially lethal infection.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
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