Department of Orthopaedic Surgery, UT Southwestern Medical Center, Dallas, Texas.
Orthopaedic Surgery, Foot and Ankle Department, Baptist Health Orthopaedic Care, Baptist Health South Florida, Coral Gables, Florida.
JBJS Case Connect. 2022 Sep 8;12(3). doi: e22.00329. eCollection 2022 Jul 1.
A 17-year-old adolescent boy complained of plantar pain at the first metatarsal 2 months after a catfish spine injury. Imaging was consistent with a retained foreign body, and surrounding osteolysis was concerning for osteomyelitis. He underwent surgical debridement and was found to have inflammation and necrosis, apparently caused by catfish spine venom.
Although osteolytic lesions are commonly attributed to infection or tumor, in the situation of venomous injuries, osteolysis can be a sequela of the severe local inflammatory reaction due to the toxins. Debridement is vital to remove the offending agent and the local toxins from the venom.
一名 17 岁青少年男孩在被鱼刺刺伤后 2 个月，诉第一跖骨底疼痛。影像学检查提示异物残留，周围骨质溶解提示骨髓炎。行外科清创术，发现炎症和坏死，显然是由鱼刺毒引起的。
虽然溶骨性病变通常归因于感染或肿瘤，但在毒液损伤的情况下，由于毒素，溶骨性病变也可能是严重局部炎症反应的后遗症。清创术对于去除致病因子和毒液中的局部毒素至关重要。
