Cases reported "Bites and Stings"

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1/4. Human sealpox resulting from a seal bite: confirmation that sealpox virus is zoonotic.

    The case of a marine mammal technician who sustained a seal-bite to the hand that produced a lesion clinically very similar to orf is described. sequence analysis of the viral dna amplified from the lesion by the polymerase chain reaction indicated that it was sealpox virus in origin. This is the first report providing unequivocal evidence that sealpox may be transmitted to humans and causes lesions very similar to orf.
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2/4. Seal finger in a wildlife ranger.

    We describe a case of septic arthritis of the interphalangeal joint of the thumb in a man following a seal bite. Early and continued treatment with antibiotics of the penicillin family failed to control the infection. Empirical treatment with tetracycline resolved the infection, but the patient has permanent joint damage. In apparently ordinary infective conditions, which fail to respond to therapy, the history may suggest that an unusual organism is responsible.
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3/4. "Seal finger".

    Two young women developed septic arthritis in an interphalangeal joint following a seal bite. One patient was cured with tetracycline: the other required joint arthrodesis. This entity known as "seal finger" is common among sealers. Although the infection may be cured with tetracycline, in late treated or untreated cases joint destruction may occur. No causative organism has been isolated.
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4/4. Isolation of mycoplasma species from a patient with seal finger.

    The etiologic agent of seal finger (speck finger) is unknown. Seal finger occurs after a seal bite, and the symptoms include acute pain, swelling, discharge, and, in some cases, there is joint involvement. The discovery of mycoplasma species in epidemics of seal disease prompted attempts to link seal finger to mycoplasma. mycoplasma species were isolated in cultures of a specimen from the finger of an aquarium trainer who was bitten by a seal and of a specimen from the front teeth of the biting seal. The two mycoplasma isolates were identical biochemically; they were serum-dependent and hydrolyzed arginine. The isolates were susceptible to tetracycline but resistant to erythromycin. By growth inhibition and immunofluorescent antibody tests, both strains were identified as mycoplasma phocacerebrale, a mycoplasma isolated in an epidemic of seal disease occurring in the Baltic Sea. The patient's infection was treated successfully with tetracycline. To our knowledge, this is the first case in which a mycoplasma has been associated with seal finger.
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