Cut my arm on live rock no biggie right.

LilRobb;739051 wrote: So sorry to hear,
that's far worse than I have ever seen!

But here a question to our medical staff; the red line - is it really heading towards the heart, or just the torso in general?
I always did this off as a fairy tale - after all the streak is a topical infection, not sure why it would seek the heart...?!
Click to expand...
There is a vein that runs from the wrist all the way to the heart. I know this from a nice hospital visit my wife had last week. There was a concern last week that my wife had a clogged artery. In the end, they had to do a catheter to run a line to the heart to inject it with a dye to see if it was indeed a blockage.

They have 2 ways of running the catheter. Either from the groin area or from the wrist. They used her wrist in her case. And no she didn't have a clogged artery. She's fine.

Hope you heal up man. That looks seriously painful!!
 
Oil_Fan;739157 wrote: There is a vein that runs from the wrist all the way to the heart. I know this from a nice hospital visit my wife had last week. There was a concern last week that my wife had a clogged artery. In the end, they had to do a catheter to run a line to the heart to inject it with a dye to see if it was indeed a blockage.

They have 2 ways of running the catheter. Either from the groin area or from the wrist. They used her wrist in her case. And no she didn't have a clogged artery. She's fine.

Hope you heal up man. That looks seriously painful!!
Click to expand...

Glad to hear your wife is alright - but that red streak doesn't follow a vein - it is topical...
 
I got the same thing from scrubbing teal palys off of a rock last thursday night. Woke up at 2am with serious tremors and thought I would need to hit the hospital if it got any worse. Was better by about 8am. Still scary though.
 
LilRobb;739051 wrote: So sorry to hear,
that's far worse than I have ever seen!

But here a question to our medical staff; the red line - is it really heading towards the heart, or just the torso in general?
I always did this off as a fairy tale - after all the streak is a topical infection, not sure why it would seek the heart...?!
Click to expand...

From the photos it appears that he has a soft tissue infection or cellulitis. I'm not sure why it's tracking in the peculiuar manner (with the red streak). It's normally circumferential. Antibioctics will take care of it...but the question is what abx to use. I hope they gave you a broad spectrum abx until they get the cultures back. It is definitely scary to see something like that. I'm going to purchase gloves asap.
 
Yeah sucks playing the waiting game with your arm lol. They had never seen anything so aggressive.
 
Brisco15;739179 wrote: Yeah sucks playing the waiting game with your arm lol. They had never seen anything so aggressive.
Click to expand...

Some staph infections are aggressive like that....I hope that's not the case. I don't think so.
 
There are some nasty bugs in our reefs.....at least nasty to us. A reefer up in Virginia spent 3 days on a ventilator from a septic reaction to a cut he sustained moving a reef. Glad you are on the mend and it did not get more serious. Gloves are good idea too for those that are very susceptible to palythoas......seen someone have an allergic reaction to those things too.
 
Hindsight says going to work this am was a bad idea. Also apparently antibiotic resistant and I'm back to the ER woot woot. I'll keep ya posted.
 
That looks really bad! Cipro - from my experience with infections like this seem to work best.

Good luck and keep us posted.
 
Whoa...cipro? I would question any doc that gave cipro for a skin infection. That is mainly marketed for unrinary tract infections. I'd be interested to see what grew from the arm, most likely MRSA.
 
Brisco15;739277 wrote: Ive been admitted for at least tonight. 2 bag of cypro
Click to expand...
that's sucks, sorry. Did you treat the cut with anything after it happened? (external or internal booze counts)
 
Ruadh;739280 wrote: Whoa...cipro? I would question any doc that gave cipro for a skin infection. That is mainly marketed for unrinary tract infections. I'd be interested to see what grew from the arm, most likely MRSA.
Click to expand...

I agree...Cipro would definately not be my first choice for a soft tissue infection and not my second either. I would give something more broad spectrum.
 
Actually that is a pretty severe infection considering the mechanism of injury. And Cipro would be appropriate. So for the more severe infections the specific marine pathogens may need to be covered by a initial therapy before the lab can ID the specific organism. In addition to covering S. pyogenes and S. aureus, the drug of choice for Aeromonas species is ceftriaxone/cefotaxime or ciprofloxacin. The drug of choice for Vibrio species is doxycycline, but ciprofloxacin also works. Therefore, a reasonable empirical regimen for more severe infections is ceftriaxone plus doxycycline. An alternative combination for critically ill patients is meropenem/imipenem plus ciprofloxacin.

Don't worry. You are getting appropriate treatment. If I were not as bad and showed beginning cellulitis, you would have likely been given a PCN or derivative. But, given the severity and spread....they are pulling out the upper echelon treatment for marine infections.
 
Patrick;739407 wrote: Actually that is a pretty severe infection considering the mechanism of injury. And Cipro would be appropriate. So for the more severe infections the specific marine pathogens may need to be covered by a initial therapy before the lab can ID the specific organism. In addition to covering S. pyogenes and S. aureus, the drug of choice for Aeromonas species is ceftriaxone/cefotaxime or ciprofloxacin. The drug of choice for Vibrio species is doxycycline, but ciprofloxacin also works. Therefore, a reasonable empirical regimen for more severe infections is ceftriaxone plus doxycycline. An alternative combination for critically ill patients is meropenem/imipenem plus ciprofloxacin.

Don't worry. You are getting appropriate treatment. If I were not as bad and showed beginning cellulitis, you would have likely been given a PCN or derivative. But, given the severity and spread....they are pulling out the upper echelon treatment for marine infections.
Click to expand...

I would respectfully disagree...the empiric antibiotic treatment for soft tissue infections following water exposure is a first generation cephalosporin (cephalexin or cefazolin) or clindamycin plus levofloxacin not Ciprofloxacin. Cipro is not indicated for skin infections other than Anthrax.
 
I agree with Edulover on clindamycin and levofloxacin. Or in the critical care setting meropenem/imipenem with the addition of tobramycin.
 
Wow, I am sorry to hear this. I hope you are on the mend and the meds they are giving work quickly.
 
I'm not a doctor and I don't play one on TV. One nasty infection that can come from an aquarium, that I'm aware of, is Mycobacteriosis. A friend of mine contracted it some years ago and treatment involved wound irrigations and intensive antibiotic treatment over the course of several months. I don't know what specific medicine was used, but I know that it was a very serious infection, and treatment was lengthy and excruciating.

Not to frighten you or anything... but these infections can be very serious.

Jenn
 
JennM;739480 wrote: I'm not a doctor and I don't play one on TV. One nasty infection that can come from an aquarium, that I'm aware of, is Mycobacteriosis. A friend of mine contracted it some years ago and treatment involved wound irrigations and intensive antibiotic treatment over the course of several months. I don't know what specific medicine was used, but I know that it was a very serious infection, and treatment was lengthy and excruciating.

Not to frighten you or anything... but these infections can be very serious.

Jenn
Click to expand...
No but you did stay at a holiday inn express last night.:)
 
You must log in or register to reply here.
Back
Top