title: Clinical Examination and Treatment of a Leg Ulcer Caused by a Stingray Puncture.
abstract: The most frequent causes of leg ulcers include venous incompetency (superficial and deep), arterial insufficiency, trauma, vasculitis, and neoplasm. Leg ulcers from injury by stingrays are quite rare. In this case report, we describe a leg ulcer caused by a stingray sting complicated by infection, which healed completely without surgery. In addition, since there few cases in the literature describing such traumas, we performed a comprehensive review of the literature. Important is the fact that the wound healing was complete without resorting to surgery, but only with a correct targeted antibiotic therapy and the use of a collagenase, which has the particularity of having hyaluronic acid as a component.
authors.affiliation: "Sapienza" University of Rome, Rome, Italy pasquale.fino@uniroma1.it.
authors.forename: Pasquale
authors.initials: P
authors.lastname: Fino
authors.affiliation: "Sapienza" University of Rome, Rome, Italy.
authors.forename: Maria Giuseppina
authors.initials: MG
authors.lastname: Onesti
authors.affiliation: "Sapienza" University of Rome, Rome, Italy.
authors.forename: Antonina
authors.initials: A
authors.lastname: Felli
authors.affiliation: "Sapienza" University of Rome, Rome, Italy.
authors.forename: Nicolò
authors.initials: N
authors.lastname: Scuderi
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001733:Bites and Stings / Q000150:complications*; D006801:Humans; D007871:Leg Ulcer / Q000188:drug therapy* / Q000209:etiology; D008297:Male; D014945:Wound Healing
chemical_list: D000900:Anti-Bacterial Agents
keywords: envenomization; hyaluronic acid; stingray; ulcer