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ISSN 1561-3046 (Electronic)

2013, Number 2

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Rev Cub Med Mil 2013; 42 (2)

Complicated lesions after the sting of the Lionfish (Pterois volitans)

Leyva MU, González RA, Fernández PF, Gutiérrez AZ, Soto OI

Language: Spanish
References: 22
Page: 235-243
PDF size: 149.53 Kb.


ABSTRACT

Twenty-nine years old white professional diver with personal pathological antecedents of Type I exogenous obesity who presents to the hospital with a complicated bite of lionfish (Pterois volitans) in the left lower limb (anteromedial part of the leg) of 21 days evolution. The patient was bitten during an underwater activity of cutting and welding in muddy waters at a depth between 4 and 5 meters. He reports the following symptoms: acute pain with irradiation and hypoesthesia, signs of cellulitis and lymphangitis of torpid evolution towards the necrosis and infection of the wound as a result of an incorrect initial medical therapy. Medical treatment with antibiotics, analgesics, antinflammatories and antihistamines per mouth was indicated and surgical treatment with Necrectomy, local cures and flap for wound closure was employed. Hyperbaric oxygenation for the stimulation of the repair, defense and cicatrisation of the injured tissues was included. The knowledge about this topic allows acting with caution considering the clinical manifestations and its complications. The use of hyperbaric oxygenation makes the diminishment of the time of evolution and the return of the patient to work possible.


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