The genera Proteus and Morganella are motile, facultative anaerobic Gram-negative rods with peritrichous flagella, and are assigned to the Enterobacteriaceae family mainly on the basis of shared biochemical characteristics, including the ability to oxidatively deaminate phenylalanine and, in most cases, to hydrolyze urea. He had picked up a live channel catfish (I. punctatus) from a fish tank with his ungloved right hand, after which he was stung in the right nail groove of his thumb by the spine of the catfish. Irrigation, exploration, and culture of these wounds as well as immunization of the patient against tetanus are recommended.
Terms and Conditions, 10.1128/AEM.01849-06. This website also contains material copyrighted by 3rd parties. Wound cultures obtained by his primary care physician grew many Proteus vulgaris and Morganella morganii. Lehmann DF, Hardy JC. It arrests bacterial growth by binding to one or more penicillin-binding proteins. J Venom Anim Toxins Incl Trop Dis. In vitro activity of trimethoprim and sulfamethoxazole against the nontuberculous mycobacteria. 4(2):326-31.
J Emerg Med. [Tropical fish salesmen's knowledge and behaviour concerning "fish tank granuloma"].
USA.gov. A 52-year-old immunocompetent Chinese-American man with no significant past medical history, including an absence of chronic diseases, was injured while handling a catfish 10 days prior to admission while working as a fishmonger in a New York City supermarket.
The person may receive pain medication and antibiotics to prevent infection. 2016 May;54(5):1180-2. doi: 10.1128/JCM.02651-15. [Medline]. Sources of these bacterial strains include both the catfish and its aquatic environment, as numerous bacterial species have been isolated from the water and sediment in which catfish inhabit . Patients with normal host defense mechanisms but with late wound care, punctures involving a bone or a joint, progressive inflammation hours after envenomation, fever, or signs of sepsis are at high risk for secondary infection and should receive definitive wound care and antibiotics. They have anti-inflammatory effects and modify the immunologic responses.
A 52-year-old Chinese-American man was hospitalized with erythema and swelling of his right arm of 10 days’ duration after skin penetration by a catfish barb. HHS 1987 Nov-Dec. 5(6):487-91. [Medline]. Haddad V, de Souza RA, Auerbach PS. 2001, 25 (4): 325-326. Virtually all catfish, including Ictaluridae, possess spines on their dorsal and pectoral fins, which serve as defense mechanisms when they are agitated or disturbed . PubMed Upon admission, the patient reported the pain as 2 out of 10 diffusely in his right thumb. 2013.
Pain associated with a catfish sting may be relieved with one to two acetaminophen ( Tylenol) every four hours and/or one to two ibuprofen ( Motrin, Advil) every six to eight hours. Huang, G., Goldstein, R. & Mildvan, D. Catfish spine envenomation and bacterial abscess with Proteus and Morganella: a case report. Google Scholar.
Culturing and sensitivity testing of the organisms in these situations is strongly advisable to initiate specific therapy. Med J Aust. Yamamoto R, Suzuki M, Hori S, Aikawa N. Stonefish "Okoze" envenomation during food preparation. An Egyptian catfish, Malapterurus, contains electrical organs capable of causing a fatal electric shock in humans . Halstead BW: Poisonous and Venomous Marine Animals of the World. Ann Allergy. For mycobacterial infections, the antibiotic treatment may be lengthy. Boston Medical Center, One Boston Medical Center Place, Boston, MA, 02118, USA, Sound Shore Medical Center, 16 Guion Place, New Rochelle, NY, 10802, USA, Beth Israel Medical Center, Milton and Carroll Petrie Division, First Avenue at 16th Street, New York, NY, 10003, USA, You can also search for this author in J Med Case Reports 7, 122 (2013). Am J Emerg Med 2001; 19:561. The patient was non-toxic appearing, but in severe pain. Actas Urol Esp. A doctor can also check to make sure that no foreign matter is trapped inside the wound. 10.1016/S0210-4806(01)72626-5. It has been found to be effective in some nontuberculotic mycobacterial infections. It has been found to be effective in some nontuberculotic mycobacterial infections. 1011549-overview 43(1):9-15. Google Scholar. Subsequently, he sought medical attention from his primary care physician, who found the patient to be afebrile and prescribed amoxicillin-clavulanate to treat cellulitis and ibuprofen as needed for pain control. volume 7, Article number: 122 (2013) Waterborne organisms such as Vibrio species for saltwater infections and Aeromonas for freshwater infections have been isolated from sting wounds and have been commonly reported [2, 3]. Wound cultures obtained prior to presentation grew many Proteus vulgaris and Morganella morganii. Fleisher JM, Kay D, Salmon RL, Jones F, Wyer MD, Godfree AF. 10.1097/00005373-199110000-00024. Ictaluridae are freshwater catfish that generally inhabit stagnant and dirty waters, potentially increasing the risk of infection. Darlene FO, Phee-Kheng C. Hot water immersion as a treatment for stonefish sting: A case report. Although envenomation and secondary infection are not uncommon sequelae of handling catfish, the present case is unique by virtue of the infecting organisms isolated.
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