He was stabbed by a fish hook and "almost had his leg amputated"! Beware of "Marine Vibrio" infection while in the water in summer. Doctors: Serious fear of "local necrosis"
When playing in the water or performing hydrophilic activities in summer, you should not only take measures to protect yourself from the sun and prevent drowning, but also be careful to prevent bacterial infection from causing wound inflammation or even necrosis. Dr. Li Wensheng from the Department of Infectious Diseases of Wanfang Hospital said that a fisherman was accidentally stabbed by a fishhook a few days ago. He initially thought that the wound was small and could only be disinfected with betadine. Unexpectedly, the wound worsened three days later, causing severe cellulitis and local tissue necrosis. After injecting antibiotics, Treatment and dressing changes gradually improved.
Beware of “Marine Vibrio” during summer water activities! He was stabbed by a fish hook and suffered from “necrotizing fasciitis”
Dr. Li Wensheng explained that the angler was diagnosed with “necrotizing fasciitis” and it was determined that it was caused by “Marine Vibrio” infection in the sea. Marine Vibrio is a bacterium that grows in the ocean. There is a risk of infection when the wound is exposed to waters full of bacteria, is injured by organisms growing in seawater, or even eats raw seafood. Usually the affected area will be red, swollen, hot, painful, and blistered. In more severe cases, tissue necrosis may occur, which may lead to life-threatening sepsis.
Dr. Li Wensheng pointed out that because the symptoms of marine Vibrio are almost the same as those of other bacterial infections, patients tend to ignore the severity; and wounds that are not treated in time are more likely to cause cellulitis and necrotizing fasciitis. If they continue to invade the deep fascia, they may At risk of amputation. Fortunately, after the fisherman was hospitalized, he received antibiotic treatment and surgical debridement immediately, and the wound dressing was changed daily, so the wound gradually improved.
Playing at the beach and visiting the fish market are risky! The probability of bacterial infection is high when encountering “3 objects”
Dr. Li Wensheng reminded that the beach or fish market is a common vector for marine Vibrio infection. Especially when the weather is hot and you go to the beach, you should pay attention to rocks, sharp objects, or when coming into contact with fish. You need to be especially careful. In addition, there are liver diseases and cancer. People with low immunity, such as those with poorly controlled diabetes, etc., must be more careful in diagnosis and treatment if wounds occur and must not be ignored.
If you are unfortunately infected with bacteria or microorganisms in the sea, different treatment measures will be taken depending on the degree of infection. Dr. Li Wensheng said that minor infections will be treated with antibiotics (third-generation cephalosporin plus tetracycline), while severe cellulitis will require surgical debridement. Wait until the wound is healed and then perform skin grafting surgery to allow the affected area to heal quickly. .
Be careful when playing in the water in summer to prevent heat injuries. Taiwan Health Promotion Administration reminds you of “3 tips”
In addition to being careful to prevent bacterial infections when playing in the water, the Taiwan Ministry of Health and Welfare, Health Promotion Administration also pointed out that the chance of heat injuries for people will increase significantly in summer; anyone can suffer from heat injuries and should avoid exposure to high temperatures. Taiwan Health Promotion Administration reminds you to keep in mind the three keys to prevent heat injuries: “Keep cool, replenish water, and be alert”:
Stay cool: You should wear light, light-colored, loose, breathable clothes, and stay indoors in a cool, ventilated place as much as possible. It is also recommended to go to a public place with air conditioning to escape the heat when the temperature is high.
Replenish water: Regardless of the level of activity, you should replenish water at any time. Do not wait until you are thirsty to replenish water, and develop a good habit of drinking at least 2,000 ㏄ boiled water every day; however, if the doctor orders to limit a small amount, you should ask the doctor when the weather is very hot. , how much should you drink. In addition, drinks containing alcohol and large amounts of sugar are not allowed to avoid losing more water from the body.
Be alert: Outdoor workers and athletes (such as lifeguards, diving instructors) at beaches, bathing beaches or recreational facilities should always pay attention to the physical condition of themselves and their colleagues around them, take appropriate rest and replenish fluids. In addition, infants, young children and the elderly should avoid going out between 10 a.m. and 2 p.m. If they must go out, it is recommended to walk in the shade, apply sunscreen, wear a wide-brimmed hat and sunglasses. Finally, in order to prevent employees from heat injuries, employers should provide a suitable working environment and relevant protective measures, and promote the prevention of heat injuries and adjust work assignments to prevent workers from working in high-temperature places for more than six hours a day.
Source:
Further reading:
Can cellulitis occur without a wound? Doctor: Serious fear of amputation! Pay attention to abnormal “redness, heat, swelling and pain”
