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Journal of Hand Surgery (British and European Volume)
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Upper Extremity Infections Following Common Carp Fish (Cyprinus Carpio) Handling

E. CALIF
N. PICK
U. DREYFUSS
S. STAHL

From the Hand Surgery Unit of the Rambam Medical Centre and the Units of Clinical Infectious Diseases and Hand Surgery of the BNEI-ZION Medical Center, Haifa, Israel

Correspondence: Dr S Stahl, Hand Surgery Unit, Rambam Medical Center, POB 9602 Haifa 31096, Israel. E-mail: mdstahl{at}tx.technion.ac.il

Upper extremity infection caused by aquatic pathogens on fish is a well recognized clinical entity. We report five consecutive cases of upper extremity infections, ranging from a simple localized reaction to a life-threatening systemic illness, which developed after handling common carp fish (Cyprinus carpio). In four cases, infection occurred following a penetrating injury by either the bones or the fin spines of the fish. Vibrio vulnificus was isolated from wound aspirates in four cases. Early broad-spectrum antibiotic therapy is mandatory. Deterioration in the clinical condition or a poor response to conservative treatment requires a meticulous surgical drainage and excision of both infected and necrotic tissues.

Journal of Hand Surgery (British and European Volume), Vol. 27, No. 1, 78-82 (2002)
DOI: 10.1054/JHSB.2001.0660
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