Cutaneous Abscess After Conus textile Sting (original) (raw)
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From allergy to labial abscess following a bee sting: A Case report
International Journal of Medical Research and Review, 2020
Arthropod bites are a common problem worldwide that are capable of inflicting injury, inciting allergic reactions, and transmitting systemic disease. Members of the Hymenoptera order in particular are of importance as they are nearly ubiquitous in nature and few such as bees, are also used for commercial purposes. These insects have stinging apparatus that deliver venom to the affected tissues during a bite. Hymenopteran venoms contain a mixture of proteins, peptides, and small organic molecules that produce varied effects. Stings from bees, wasps, and ants produce a wide array of clinical manifestations that can be local or systemic. Additionally, these stings may cause life-threatening allergic reactions. Anaphylaxis following a Hymenoptera sting is the most common serious systemic complication. Local reactions can be immediate or delayed. In a few instances, local or disseminated infections have also been reported following bee stings; although very rarely have proved fatal in severe cases. Infection rates are found to be higher in immunodeficiency states. Infections at site of a bee sting can result in the localized pustular lesion with peripheral induration or in severe cases deep necrotizing fascia infection with sepsis and multisystem organ failure. Here we report a case of a bee sting in the upper lip leading to the painful swelling with abscess formation successfully treated with antibiotics, incision, and drainage. Numerous mechanisms for infection in arthropod stings have been described; in our case report, we would like to highlight the importance of timely identification and appropriate management of the infections that may have a significant impact on the overall outcome.
Abscess secondary to facial snakebite
Journal of Venomous Animals and Toxins, 2000
In Costa Rica, approximately 700 snakebite cases occur each year, 5 to 10 of which result in death. At the Hospital Nacional de Niños (HNN), 6 to 10 cases are reported annually, more than half of these cases and nearly all deaths are result from Bothrops asper snakebite. This venomous snake, popularly known as the "terciopelo", most often attacks the lower or upper limbs and characteristically produces local tissue damage, which can be severe. The following is a report of the first case of a non-fatal and unusual facial bite caused by Bothrops asper in our country.
Wound infections secondary to snakebite
The Journal of Infection in Developing Countries, 2009
Background: The study was performed to identify the important bacterial pathogens responsible for wound infections secondary to snakebite and to determine their antimicrobial susceptibility. Methodology: All cases of wound infection secondary to snakebite were included in this retrospective study. Infected tissues were surgically debrided and inoculated on blood agar and MacConkey agar for aerobic bacterial culture, followed by antimicrobial susceptibility testing of the isolates by Kirby-Bauer disk diffusion method. Results: Staphylococcus aureus (32%) was the most common isolate followed by Escherichia coli (15%); monomicrobial infections were more frequent than polymicrobial infections. The majority of the isolates were antibiotic sensitive. Ciprofloxacin, an oral drug covering both Gram-positive and Gram-negative isolates, was the most frequently prescribed antibiotic. The patients responded well to the treatment. Conclusion: The results of this study will be helpful in deciding the empirical antibiotic therapy in cases of wound infection secondary to snakebite in regions of Southeast Asia.
Case Report: Iatrogenic Infection from Traditional Treatment of Stingray Envenomation
The American journal of tropical medicine and hygiene, 2018
A 47-year-old man was stung on the left ankle by a stingray while on vacation on the Island of Bubaque, Guinea-Bissau. The affected limb was initially treated with an attempt to suck out the venom and application of chewed plant root. The following 3 days, local pain gradually diminished, but then high fever erupted together with generalized symptoms and intense pain from the ankle. After initiating antibiotic treatment, the patient was evacuated. Because of sustained symptoms and fever, the wound was surgically debrided, and culture revealed infection with oral flora bacteria. Attempts to suck out venom are not recommended.
The Treatment of Cutaneous Abscesses: Comparison of Emergency Medicine Providers' Practice Patterns
Western Journal of Emergency Medicine, 2013
Introduction: Cutaneous abscesses are commonly treated in the emergency department (ED). Although incision and drainage (I&D) remains the standard treatment, there is little high-quality evidence to support additional interventions such as pain control, type of incision, and use of irrigation, wound cultures, and packing. Although guidelines exist to support clinician management of abscesses, they do not clearly specify these additional interventions. This study sought to describe the ED treatments administered to adults with uncomplicated superficial cutaneous abscesses, defined as purulent lesions requiring incision and drainage that could be managed in an ED or outpatient setting.
Spontaneous Drainage of Lower Lip Abscess by Insect Sting in the Prediabetic Male: A Case Report
Acta Medica Philippina, 2021
Most insects have a stinging apparatus at the tail end of their abdominal segment and can deliver venom. The venom can usually result in pain, erythema, abscess, or allergic reaction in human tissues such as the skin and even the lips. The presentation of lip abscess, especially in the vermilion, is rare and needs to be appropriately managed. A 39-year-old prediabetic male presented with a swollen right lower lip stung by an insect six days before the consult. The swelling started as a vesicle which became bigger, then burst, exuding a yellowish fluid and blood. The swollen area became more significant, and pain was felt. The clinical presentation was that of a lower lip abscess. Adequate antibiotics were prescribed along with a corticosteroid and a topical antiseptic. The treatment was essential to prevent the dissemination of infection and the likelihood of tissue necrosis. This case report is presented as a rare clinical case of a lower lip abscess due to an insect sting with spo...
Various hemostatic agents are currently available for routine laparoscopic procedures, avoiding thermal lesions due to energy devices and the complexity of intracorporeal sutures, however, evidence of complications in immunocompromised patients is still lacking. We present the case of a severely immunocompromised gynecological patient who underwent a routine laparoscopic cystectomy, where a local hemostatic agent was employed; further complications arose, a second diagnostic laparoscopy revealed a pelvic abscess with severe adhesion formation. All under a complicated clinical setting due to an impaired immune response, whether this abscess was caused due to the hemostatic agent or other patient’s conditions remains to be determined, still, various clinical factors and patient’s response need to be taken into account as the cause of the abscess formation.