catfish sting antibiotics of choice

Zoltan Trizna, MD, PhD is a member of the following medical societies: Texas Medical AssociationDisclosure: Nothing to disclose. Two cases of catfish stings of the hand are presented. 59(1):19-22. Barr KL, Lowe L, Su LD. Privacy Effects from catfish toxins, such as pain, erythema, and edema, are difficult to differentiate from a local bacterial process. Some authors recommend sulfonamide alone or in combination with trimethoprim; others used minocycline, doxycycline, tetracycline, or cefoxitin.

In one of these c … An abscess of his right thumb had undergone incision and drainage, with purulent drainage sent for wound culture immediately prior to admission. As the day progressed, he developed pain, erythema, and swelling throughout his right thumb. In addition to inducing mechanical injury, the spines also contain venom glands, which, when compressed after the overlying sheath has been broken, release venom that can cause both a severe local inflammatory reaction and possible systemic symptoms.  |  COVID-19 is an emerging, rapidly evolving situation. Google Scholar. Heat deactivation of the stonefish Synanceia horrida venom - implications for first-aid management. James J Nordlund, MD Professor Emeritus, Department of Dermatology, University of Cincinnati College of Medicine These proteinaceous substances may coat the spine and become passively introduced into the wound upon skin breach [4]. Google Scholar. N Engl J Med 1993; 329:510.

They have anti-inflammatory effects and modify the immunologic responses.

Over the next few days, the patient reported an increase in pain from 1 out of 10 to 7 out of 10 in intensity, with radiation to his right forearm, and progressive erythema and swelling which extended proximally up his right arm. Candiru (genus Vandellia) is a small Amazonian catfish that is attracted to urine and may penetrate the urethral orifice of mammals, including humans, requiring surgical intervention [2]. Courtesy of the Department of Dermatology, UTMB at Galveston, Texas. Auerbach PS, Hays JT.

2011 Jul-Aug. 18(4):275-81. He described the pain as throbbing and intermittent, with radiation to his right forearm. Diseases & Conditions, 2002

Abscess formation and cellulitis in the setting of envenomation are rare complications of handling catfish.

Wilderness Environ Med. [Medline].

Ceftriaxone is a third-generation cephalosporin with broad-spectrum gram-negative activity, lower efficacy against gram-positive organisms, and higher efficacy against resistant organisms.

A recommended antibiotic regimen for empiric coverage of Vibrio species involves doxycycline with the addition of either ceftazidime or a fluoroquinolone. Journal of Medical Case Reports

10.1128/AEM.01849-06. It inhibits DNA-dependent bacterial but not mammalian RNA polymerase. Procedures, Cutaneous Manifestations Following Exposures to Marine Life, encoded search term (Cutaneous Manifestations Following Exposures to Marine Life) and Cutaneous Manifestations Following Exposures to Marine Life, Botulinum Toxin Injections in Plastic Surgery, Pathophysiology and Etiology of Lead Toxicity, EMA Panel Recommends DPD Testing Prior to Fluorouracil Treatment, 'Reshaping' Radiotherapy May Reduce Female Sexual Dysfunction, How to Help Families Get Through Climate-Related Disasters, Famous Patients: From Goethe to Beethoven, Marley to Bogart, Epinephrine in Anaphylaxis: Too Little, Too Late, New Formula for Milk-Allergic Infants Has Pre- and Probiotics, 'May Contain' Food Allergen Labeling Can't Be Trusted, Trial Confirms Benefit of SLIT for Dust Mite Allergy. 2000, 13: 183-189. 2008 Summer. The affected extremity should then be splinted and the patient closely monitored. X-ray views of the thumb were negative for foreign body and gas (Figure 1). [Full Text]. Rev Infect Dis. 2005, 13 (4): 243-253. 1988, 26 (4): 353-361. Med J Aust. To the best of our knowledge, isolation of Proteus vulgaris has not been previously recorded, and recovery of Morganella morganii has been reported in only one prior case from wound cultures in patients injured by catfish stings. Select the product according to the severity and location of the lesions. Systemic manifestations are rare, and the majority of cases resolve without long-term sequelae [6]. One way to handle a live catfish out of water is to grasp it behind the pectoral fins, keeping the dorsal spine pressed down with the palm of the hand [7]. 2018 Apr;10(1):57-58. doi: 10.1055/s-0037-1608695. The patient revisited his physician 3 days later with the development of an abscess and no response to the antibiotic while remaining afebrile. J Trauma.

The suspicion arose because in addition to the positive wound cultures for these organisms, the patient’s condition worsened after outpatient therapy with amoxicillin-clavulanate, to which M. morganii was resistant, and improved only after having received broad spectrum Gram-negative coverage with tobramycin and ciprofloxacin, which are antibiotics that target both bacteria.

The authors declare that they have no competing interests.

He then referred the patient to the emergency department for admission and intravenous antibiotics. Additional medications can include co-trimoxazole, alone or combined with minocycline, clarithromycin, doxycycline, and ethambutol. [Medline]. Wound cultures obtained prior to presentation grew many Proteus vulgaris and Morganella morganii. The Two Types of Saltwater Catfish …

35(3):153-8. A variety of organisms have been reported to be responsible for causing secondary infection, including Klebsiella, Erysipelothrix, Nocardia, Chromobacterium, Sporothrix, Actinomyces, Pseudomonas, Staphylococcus, Morganella, Edwardsiella[7], Mycobacterium[9], Aeromonas, and Vibrio species [7]. 10.1016/j.foodcont.2006.10.003. Mizuno M, Nishikawa K, Yuzawa Y, et al.

Virtually all catfish, including Ictaluridae, possess spines on their dorsal and pectoral fins, which serve as defense mechanisms when they are agitated or disturbed [1]. Pain associated with a catfish sting … J Am Podiatr Med Assoc.  |  Emerg Med J. Erysipeloid. Several topical steroids are available. BMJ Case Rep. 2010 May 6.

19(2):114-8. 23(7):503-8. 2010:[Medline]. J Hand Microsurg. [Medline]. Food Control.

1997 Mar;16(3):189-201. doi: 10.1007/BF01709581. It must be metabolized to the active metabolite prednisolone for effect, and thus, its conversion may be impaired in liver disease. A MEDLINE search over the past 30 years identified only two other case reports of M. morganii infection following catfish envenomation [13]. Epub 2017 Dec 29. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Clark C, McIntyre PG, Evans A, McInnes CJ, Lewis-Jones S. Human sealpox resulting from a seal bite: confirmation that sealpox virus is zoonotic. Haddad V, de Souza RA, Auerbach PS. Catfish stings in Mississippi.

1982 Mar-Apr. Sources of these bacterial strains include both the catfish and its aquatic environment, as numerous bacterial species have been isolated from the water and sediment in which catfish inhabit [14]. Ann Allergy.

1966, 2 (2): 63-65. [21, 22].

Aeromonas and Vibrio species have been reported to be the most aggressive organisms for freshwater and saltwater infections, respectively, especially in immunocompromised patients [6, 7]. A 52-year-old Chinese-American man was hospitalized with erythema and swelling of his right arm of 10 days’ duration after skin penetration by a catfish barb. 1991, 31 (10): 1432-1436. Correspondence to

[Medline]. Google Scholar. Over 1000 species of freshwater and saltwater catfish exist worldwide, with some weighing a few grams and others up to 200kg. Plain radiographs should be done to evaluate for foreign material and gas in the wound. They vary greatly in their adaptations to different ecological conditions. His doctor performed an incision and drainage procedure of the lesion and sent the purulent drainage for wound culture. Written informed consent was obtained from the patient for publication of this case report and accompanying images. Noonburg GE: Management of extremity trauma and related infections occurring in the aquatic environment. All material on this website is protected by copyright, Copyright © 1994-2020 by WebMD LLC. [Medline]. Darlene FO, Phee-Kheng C. Hot water immersion as a treatment for stonefish sting: A case report. Curr Infect Dis Rep. 2009 Sep;11(5):389-95. doi: 10.1007/s11908-009-0055-x.

Effective medical management of superficial skin infections usually only involve antibacterial coverage of Gram-positive organisms, including Streptococcus and Staphylococcus.  |  [Medline]. Eiland LS, Salazar ML: Polymicrobial catfish spine infection in a child. 2017 Sep. 47 (3):155-158. PubMed  Actas Urol Esp. Treatment with antibiotics either is initiated empirically because culture and sensitivity results are not yet available or is tailored according to the laboratory results.

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