title: High-Pressure Injection to the Great Toe with River Water.
abstract: METHODS
  A 53-year-old male sustained a high-pressure water injection injury to his foot while working in a river. He was taken to the operating room for emergent irrigation and debridement of copious riverbed sediment. Cultures taken from the operating room were positive for multiple anaerobes, fungus and mold and he was treated with appropriate antibiotics. To date, his only residual deficit is a 1 cm area of numbness at the entrance wound.
  
  
  CONCLUSIONS
  High-pressure water injections to the foot are uncommon injuries. These are serious injuries that require emergent antibiotics, tetanus and surgical debridement.
authors.affiliation: Department of Orthopedics, Warren Alpert Medical School, Brown University, Providence, RI.
authors.forename: Todd R
authors.initials: TR
authors.lastname: Borenstein
authors.affiliation: Department of Orthopedics Warren Alpert Medical School, Brown University, Providence, RI.
authors.forename: Joey P
authors.initials: JP
authors.lastname: Johnson
authors.affiliation: Department of Orthopedics Warren Alpert Medical School, Brown University, Providence, RI.
authors.forename: Brian
authors.initials: B
authors.lastname: Cohen
authors.affiliation: Department of Orthopedics, Clinical Instructor, Warren Alpert Medical School, Brown University, Providence, RI.
authors.forename: Patrick
authors.initials: P
authors.lastname: Kane
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003646:Debridement; D004632:Emergency Medical Services; D006801:Humans; D008297:Male; D008875:Middle Aged; D011312:Pressure; D045483:Rivers; D007507:Therapeutic Irrigation; D014034:Toes / Q000293:injuries* / Q000382:microbiology* / Q000601:surgery*
chemical_list: D000900:Anti-Bacterial Agents
keywords: Emergency Care; Orthopedics; Trauma