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Journal of Hand Surgery (British and European Volume)
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Articles

Hand Infections Due to Non-Cholera Vibrio after Injuries from St Peter’s Fish (Tilapia zillii)

R. SAID
G. VOLPIN
B. GRIMBERG
S. R. FRIEDENSTROM
E. LEFLER
S. STAHL

From the Western Galilee Hospital, Naharyia and the Rambam Medical Center, Haifa, Israel

Correspondence: G. Volpin MD, Department of Orthopaedic Surgery, The Western Galilee Hospital, Naharyia, Israel.

We report 49 patients with a wide variety of hand infections, which developed after injuries from St Peter’s fish (Tilapia zillii). Twenty-eight of 36 patients who had been operated on had non-cholera vibrio infections, all identified as Vibrio vulnificus. The course in these patients was characterized by rapid spread of the infection with progressive necrosis of the tendon sheath, subcutaneous tissues and the skin. Two of them required amputations but the others had satisfactory functional results. Thirteen other patients were managed nonoperatively with intravenous antibiotics and all of them recovered completely.

Journal of Hand Surgery (British and European Volume), Vol. 23, No. 6, 808-810 (1998)
DOI: 10.1016/S0266-7681(98)80104-6
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