Reddy Satyatejas G, Handa Anisa, Arumugam Arun, Ange Brittany, MacArthur Rodger
Medical College of Georgia, Office of Academic Affairs, Augusta University, Augusta, Georgia.
Department of Medicine, Medical College of Georgia, Division of Infectious Diseases and Office of Academic Affairs, Augusta University, Augusta, Georgia.
Int J Circumpolar Health. 2025 Dec;84(1):2530267. doi: 10.1080/22423982.2025.2530267. Epub 2025 Jul 22.
Seal finger is a rare zoonotic bacterial infection typically caused by Mycoplasma species, transmitted from seals (Pinnipedia suborder) to humans. First documented in 1907, this disease remains under-researched despite growing relevance as humans increasingly encroach on Arctic regions. We conducted a review of multiple databases to evaluate its history, prevalence, at-risk populations, and treatment options. The infection primarily affects individuals who have close contact with marine mammals, including fishers, hunters, sealers, and marine biologists. Seal finger usually presents similarly to panaritium, with localized swelling, erythema, and pain. Due to its rarity and limited awareness among healthcare providers, the infection is often unrecognized, leading to wounds going untreated or being managed with inappropriate antibiotics. This mismanagement allows the infection to progress, potentially involving joints or spreading further, which could have been effectively prevented with a course of tetracycline. Further research is essential to better understand the epidemiology of seal finger and improve timely diagnosis. To reduce complications, more education is needed for physicians working in coastal, Arctic, and aquarium settings about recognizing the disease and administering proper treatment. Enhanced awareness and research can improve patient outcomes and increase the safety of human interactions with seals.
海豹指是一种罕见的人畜共患细菌感染,通常由支原体属引起,从海豹(鳍足亚目)传播给人类。该病于1907年首次有文献记载,尽管随着人类对北极地区的 encroachment 日益增加其相关性不断提高,但仍研究不足。我们对多个数据库进行了综述,以评估其历史、患病率、高危人群和治疗选择。该感染主要影响与海洋哺乳动物有密切接触的个体,包括渔民、猎人、捕海豹者和海洋生物学家。海豹指通常表现得与脓性指头炎相似,有局部肿胀、红斑和疼痛。由于其罕见性以及医疗服务提供者对其认识有限,该感染常常未被识别,导致伤口得不到治疗或使用不适当的抗生素处理。这种管理不善会使感染进展,可能累及关节或进一步扩散,而使用四环素疗程本可有效预防这种情况。进一步的研究对于更好地了解海豹指的流行病学和改善及时诊断至关重要。为了减少并发症,需要对在沿海、北极和水族馆环境工作的医生进行更多关于识别该病和给予适当治疗的教育。提高认识和开展研究可以改善患者预后并提高人类与海豹互动的安全性。