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一名归国旅行者因黄貂鱼受伤并发溶藻弧菌伤口感染及胫后动脉假性动脉瘤

Stingray Injury Complicated by Vibrio alginolyticus Wound Infection and Posterior Tibial Artery Pseudoaneurysm in a Returning Traveler.

作者信息

Carroll Amy, Chowdhury Melissa, Zheng Charlotte, Ghazali Sorfina, Palanivel Shara, Walker Steven L, Kew Alex

机构信息

Hospital for Tropical Diseases, University College London Hospitals National Health Service Foundation Trust, London, United Kingdom.

Institute for Global Health, University College London, London, United Kingdom.

出版信息

Am J Trop Med Hyg. 2024 Dec 10;112(3):709-712. doi: 10.4269/ajtmh.24-0498. Print 2025 Mar 5.

Abstract

Stingray injury is common in temperate and tropical waters worldwide. The majority of injuries are minor and can be managed with simple first aid at the shoreline; however, serious complications can occur. We report a case of Vibrio alginolyticus wound infection, retained foreign body, and posterior tibial artery pseudoaneurysm after stingray envenomation in a returning traveler. The patient presented with severe pain and dysesthesia associated with a puncture wound in the left lower leg 1 week after injury in Seychelles. Clinician awareness of infection and trauma-related complications of stingray and other penetrating marine injuries is important.

摘要

黄貂鱼致伤在全球温带和热带水域都很常见。大多数损伤较轻,在岸边进行简单急救即可处理;然而,也可能发生严重并发症。我们报告一例归国旅行者被黄貂鱼蜇伤后发生溶藻弧菌伤口感染、异物残留及胫后动脉假性动脉瘤的病例。该患者在塞舌尔受伤1周后,因左小腿穿刺伤出现剧痛和感觉异常。临床医生了解黄貂鱼及其他穿透性海洋损伤相关的感染和创伤并发症很重要。

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本文引用的文献

1
High-flow arteriovenous fistula resulting from stingray injury.
J Travel Med. 2023 Jun 23;30(4). doi: 10.1093/jtm/taac098.
2
The Natural History of Stingray Injuries.《黄貂鱼伤的自然史》。
Prehosp Disaster Med. 2022 Jun;37(3):350-354. doi: 10.1017/S1049023X22000565. Epub 2022 Apr 8.
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Pseudoaneurysm following a freshwater stingray injury.淡水黄貂鱼致伤后形成的假性动脉瘤。
J Eur Acad Dermatol Venereol. 2019 Oct;33(10):e356-e357. doi: 10.1111/jdv.15648. Epub 2019 May 14.
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Endovascular salvage of a false aneurysm of the posterior tibial artery caused by a stab from a stingray.
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