Reminder on how dangerous our coral and water can be

bcavalli

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I just returned home from the hospital after 3 days and I wanted to warn everyone how dangerous our tanks can be.  On Sunday I was handling some sharp live rock and bagging up corals I was holding for one of our members.  First and foremost I am always very careful handling coral and usually use gloves (I had just run out) and wash my hands before and after and pour alcohol over my hands as well.

Apparently while handling the live rock Sunday I cut my index finger without realizing it.  Then I picked up quite a few colonies of coral to bag up.   The corals included Palythoa and Paly Grandis colonys and many many more colonys less toxic.

That evening my finger was killing me and started to swell. I immediately soaked it in rubbing alcohol for an hour and went to bed.  The next morning my finger was extremely swollen and really painful.  So I headed to the ER, once I arrived I explained what happened and what I had in my tank that may have caused the infection.   They called in a Infectious Disease Specialist and an Infectious Disease Pharmacologist.  No one at Emory had even dealt with any of the possibilities that the infection was caused by.  So they took cultures and apparently it takes weeks or even months to culture some of the bacteria and even worse if its paly toxins as there really isnt a blood test that will indicate which one it is.  Then comes treatment, they try one strong antibiotic and add another and another until you see some reduction in the swelling after a few days.  If the infection spreads to the bone or tendon it moves rapidly through the finger, hands and arms.  In my case  I was incredibly lucky, so far and it did not reach the bone or tendon yet.  However, I may still need surgery (I'll know tomorrow)  and it may take along time to completely resolve the infection.  But, you could easily need an amputation if it spreads to the bone or tendons.

Im sorry to post such detailed information.  But, I felt it was really important to emphasize how dangerous out tanks can be and the medical community has not advanced in dealing with many of the possible bacterias and toxins we have in our tanks.  Please always be careful and if you do end up with a cut that is sore after handling coral or live rock.  Take the time to visit your Dr or the ER and explain what you came into contact with.  Moral of the story - Always wear gloves and glasses.
 
Wow Brett, sorry to hear.  I only wear gloves when fragging.  We definitely have to take care with our coraln particularly some of the palys.  It looks like I will be getting some gloves for moving stuff around too.  Did the dr conform it was palytoxin? Thanks for sharing.
 
Thanks guys, I really appreciate it!  There is no current conclusive test that can determine paly toxins in the body.  About the only way is to weed out other possiblilities (such as Mycobacterium marinum) which can take up to 3 months to culture.   Thank goodness generally its treatable with multiple strong antibiotics if caught before it reaches the tendons or bone.



Another important note most already know.  Just never, ever boil, eat or bake live rock as you sure as heck are going to potentially kill yourself and your family.  Even if it looks like there isnt any palys or zoas on the rock.  Soaking it in vinegar or bleach is the only method that should be used.
 
Wow! All this time that you have been in the hobby without a problem. Just goes to show that no matter how much time one spends in this hobby, you will always come across an issue that can doom either the tank or the owner. Brett, I'm sorry to hear about your nasty incident. I'm praying for an immediate recovery without surgery for you.
 
Thanks for thinking of us again as always, I appreciate the info, I know I've taken things lightly more than once while doing maintenance, dipping corals, etc. so the reminder is very much appreciated. Hoping you are Aok very soon.
 
So sorry  to here this Brett,  I hope you get 100% well.

Again,  Thank you for thinking of fellow Reefers.
 
sorry to hear this Brett, I hope you get 100% well and keep you in prayers and in my thoughts.
 
Sorry to hear Brett! I hope things get better.



One time when I was talking to Schell he told me he had to go to the hospital. They made a phone call to a doctor or hospital in Hawaii that helped them sort things out.
 
Thank you guys, it seems to be getting a little better.  Dan Im not sure why they didnt consider reaching out to other universities.  That didnt even cross my mind either.

Its just hard to believe a simple cut can cause so many problems.
 
It's not the cut but what gets in it. There are a vast number of toxins and bacteria that are harmless on undamaged skin. But once allowed entry into damaged tissue or mucus membranes can reek havoc.
 
Thank you guys!    I was cleared today from having surgery and It was great news!  Now the status is Wait and watch.

Adam is right and I failed to mention that the specialists said we may often find Staff and Flesh eating bacteria in our tanks.  So please everyone be careful and always take precautions.  If you do you wont have any issues.  Unless you decide to boil you live rock.  Lol.
 
Wow Brett! Just noticed this, and hopefully your going through rapid recovery! Just as we talk o was following another post on Fb about a person who had the very same incident! Seems like no matter how carefully we can be, we need to go beyond that. I hope doctors and medications can get you well!

If relating you to the thread I'm mentioning helps some I can do, I'm sure that won't put your pain away but the more information about the same issue we gather I think it could help find more solutions.
 
Thank you for the reminder. It really is amazing how poisonous some stuff is in our tanks and we handle it all the time.
Hope you heal up soon . I' ve been to the ER from Palys and its no fun. Plus its a very expensive trip.
 
Dang Brett sorry to hear this. I’m always rummaging in my tank without gloves. I think I’ll have to change my lazy habits. Good news on no surgery, hope for a speedy recovery.
 
I have heard these stories before, but you think its a one in a million thing, or just the toxic brown/green palys. Just goes to show how we have to be careful. I'll be looking into gloves! Glad it seems to have been just a close call Brett!
 
Thank goodness Dan. Thank you for asking. Just have follow ups with the infectious disease specialist and surgeon. But, so far I'm in the clear. Yay. :)
 
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