Popa Daniel, Van Hoesen Karen
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.
J Emerg Med. 2016 Nov;51(5):552-556. doi: 10.1016/j.jemermed.2016.05.066. Epub 2016 Sep 9.
Shark bites are rare but sensational injuries that are covered in the lay press but are not well described in the medical literature.
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.