title: Catfish spine envenomation: a case of delayed presentation.
abstract: Catfish spine envenomations can result in debilitating hand problems. Virulent bacteria may be introduced through a puncture wound. An offending organism may be difficult to culture, and a foreign body may be missed unless there is a high index of suspicion. The majority of cases present early and symptoms resolve within 3 months. We report a markedly delayed presentation and treatment of a catfish "finning" injury that resulted in chronic tenosynovitis to the hand. A review of the literature and current treatment recommendations are provided.
authors.affiliation: Department of Plastic Surgery, Vanderbilt University Medical Center, Nashville, TN 37232, USA.
authors.forename: Nadeem
authors.initials: N
authors.lastname: Ajmal
authors.forename: Lillian B
authors.initials: LB
authors.lastname: Nanney
authors.forename: Sean F
authors.initials: SF
authors.lastname: Wolfort
mesh_terms: D000328:Adult; D000818:Animals; D001170:Arthritis, Infectious / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000382:microbiology / Q000473:pathology / Q000628:therapy; D001733:Bites and Stings / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000382:microbiology / Q000473:pathology / Q000628:therapy; D002397:Catfishes; D003937:Diagnosis, Differential; D005547:Foreign Bodies / Q000150:complications / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery; D006230:Hand Injuries / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000382:microbiology / Q000473:pathology / Q000628:therapy; D006801:Humans; D008297:Male; D011859:Radiography; D012008:Recurrence; D014953:Wrist / Q000000981:diagnostic imaging / Q000601:surgery