Hallux amputation after a freshwater stingray injury in the Brazilian Amazon

• Published in: Revista da Sociedade Brasileira de Medicina Tropical
• Main Authors: Wuelton Marcelo Monteiro, Sâmella Silva de Oliveira, Jacqueline de Almeida Gonçalves Sachett, Iran Mendonça da Silva, Luiz Carlos de Lima Ferreira, Marcus Vinícius Guimarães Lacerda
• Format: Article in Journal/Newspaper
• Language: English
• Published: Sociedade Brasileira de Medicina Tropical (SBMT) 2016
• Subjects: Stingray envenomation; Bacterial infection; Necrosis; Arctic medicine. Tropical medicine; RC955-962; Arctic
• Online Access: https://doi.org/10.1590/0037-8682-0333-2015; https://doaj.org/article/6fcf993df3134f57864b1cdd40c7e967

Abstract: Freshwater stingray injuries are a common problem in the Brazilian Amazon, affecting mostly riverine and indigenous populations. These injuries cause severe local and regional pain, swelling and erythema, as well as complications, such as local necrosis and bacterial infection. Herein, we report a case of bacterial infection and hallux necrosis, after a freshwater stingray injury in the Brazilian Amazon, which eventually required amputation. Different antimicrobial regimens were administered at different stages of the disease; however, avoiding amputation through effective treatment was not achieved.