Injury with secondary infection and severe sequelae caused by a snook fish (Centropomus spp.) to a fisherman

Abstract

Introduction:

fish injuries are common among fishers and, if not properly assisted, can lead to major complications.

Objective:

to report the case of a fisherman who had an accident with a snook fish (Centropomus spp.) and presented secondary infection with severe sequelae.

Methods:

the information was obtained by reviewing medical records, interviewing the patient, and photographic record.

Results:

a 48-year-old fisherman was injured by the spike on the base of the fish fin. It affected the phalanx of his left hand fifth finger, showing signs of inflammation throughout the limb. The health service was unable to identify the infectious agent and prescribed several antibiotics. Without substancial results, the doctors discontinued the antibiotic therapy and adopted a symptomatic treatment. After 32 days in hospital, the patient was discharged. However, two months after the accident, he presented an abscess in the limb, which limited the fingers movement and required a surgical procedure. After the infection was controlled, he presented some sequelae such as muscle atrophy, partial loss of movement, reduced motor capacity, local sensitivity, and clawed-shaped hand.

Conclusion:

injuries caused by fish can result in serious and irreversible consequences, and more attention should be paid to the subject-matter.

Keywords:
occupational health; accidents, occupational; wounds and injuries; fishes; case report