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A "Shark Encounter": Delayed Primary Closure and Prophylactic Antibiotic Treatment of a Great White Shark Bite.

作者信息

Popa Daniel, Van Hoesen Karen

机构信息

Department of Emergency Medicine, University of California, San Diego, San Diego, California.

Department of Emergency Medicine, University of California, San Diego, San Diego, California; Division of Hyperbaric Medicine, University of California, San Diego, San Diego, California; Division of Wilderness Medicine, University of California, San Diego, San Diego, California.

出版信息

J Emerg Med. 2016 Nov;51(5):552-556. doi: 10.1016/j.jemermed.2016.05.066. Epub 2016 Sep 9.

Abstract

BACKGROUND

Shark bites are rare but sensational injuries that are covered in the lay press but are not well described in the medical literature.

CASE REPORT

We present the case of a 50-year-old man who sustained two deep puncture wounds to his thigh from a great white shark in the waters surrounding Isla de Guadalupe off the coast of Baja California, Mexico, during a caged SCUBA dive. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: We discuss our strategy of closing the wounds in a delayed primary fashion 24 hours after injury, our antibiotic choices, and the patient's course and review marine pathogens and appropriate antibiotic coverage.

摘要

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