Osteolytic Lesion of the First Metatarsal After Catfish Spine Injury: A Case Report

Kshitij Manchanda; Solangel Rodriguez-Materon; Adrianna Raudes; Thomas Philip Sangiovanni

doi:10.2106/JBJS.CC.22.00329

Osteolytic Lesion of the First Metatarsal After Catfish Spine Injury: A Case Report

Kshitij Manchanda, Solangel Rodriguez-Materon, Adrianna Raudes, Thomas Philip Sangiovanni

Research output: Contribution to journal › Article › peer-review

Abstract

Case:A 17-year-old adolescent boy complained of plantar pain at the first metatarsal 2 months after a catfish spine injury. Imaging was consistent with a retained foreign body, and surrounding osteolysis was concerning for osteomyelitis. He underwent surgical debridement and was found to have inflammation and necrosis, apparently caused by catfish spine venom.Conclusion:Although osteolytic lesions are commonly attributed to infection or tumor, in the situation of venomous injuries, osteolysis can be a sequela of the severe local inflammatory reaction due to the toxins. Debridement is vital to remove the offending agent and the local toxins from the venom.

Original language	English (US)
Article number	e22.00329
Journal	JBJS Case Connector
Volume	12
Issue number	3
DOIs	https://doi.org/10.2106/JBJS.CC.22.00329
State	Published - Sep 8 2022

Keywords

Bagre marinus
Gafftopsail Catfish
adolescent
bone necrosis
catfish spine
erythema
first metatarsal
male
metatarsal
osseous cyst
osteolysis
osteolytic lesion
pain
swelling
venom

ASJC Scopus subject areas

Surgery
Orthopedics and Sports Medicine

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10.2106/JBJS.CC.22.00329

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title = "Osteolytic Lesion of the First Metatarsal After Catfish Spine Injury: A Case Report",

abstract = "Case:A 17-year-old adolescent boy complained of plantar pain at the first metatarsal 2 months after a catfish spine injury. Imaging was consistent with a retained foreign body, and surrounding osteolysis was concerning for osteomyelitis. He underwent surgical debridement and was found to have inflammation and necrosis, apparently caused by catfish spine venom.Conclusion:Although osteolytic lesions are commonly attributed to infection or tumor, in the situation of venomous injuries, osteolysis can be a sequela of the severe local inflammatory reaction due to the toxins. Debridement is vital to remove the offending agent and the local toxins from the venom.",

keywords = "Bagre marinus, Gafftopsail Catfish, adolescent, bone necrosis, catfish spine, erythema, first metatarsal, male, metatarsal, osseous cyst, osteolysis, osteolytic lesion, pain, swelling, venom",

author = "Kshitij Manchanda and Solangel Rodriguez-Materon and Adrianna Raudes and Sangiovanni, {Thomas Philip}",

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AU - Rodriguez-Materon, Solangel

AU - Raudes, Adrianna

AU - Sangiovanni, Thomas Philip

PY - 2022/9/8

Y1 - 2022/9/8

N2 - Case:A 17-year-old adolescent boy complained of plantar pain at the first metatarsal 2 months after a catfish spine injury. Imaging was consistent with a retained foreign body, and surrounding osteolysis was concerning for osteomyelitis. He underwent surgical debridement and was found to have inflammation and necrosis, apparently caused by catfish spine venom.Conclusion:Although osteolytic lesions are commonly attributed to infection or tumor, in the situation of venomous injuries, osteolysis can be a sequela of the severe local inflammatory reaction due to the toxins. Debridement is vital to remove the offending agent and the local toxins from the venom.

AB - Case:A 17-year-old adolescent boy complained of plantar pain at the first metatarsal 2 months after a catfish spine injury. Imaging was consistent with a retained foreign body, and surrounding osteolysis was concerning for osteomyelitis. He underwent surgical debridement and was found to have inflammation and necrosis, apparently caused by catfish spine venom.Conclusion:Although osteolytic lesions are commonly attributed to infection or tumor, in the situation of venomous injuries, osteolysis can be a sequela of the severe local inflammatory reaction due to the toxins. Debridement is vital to remove the offending agent and the local toxins from the venom.

KW - Bagre marinus

KW - Gafftopsail Catfish

KW - adolescent

KW - bone necrosis

KW - catfish spine

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KW - male

KW - metatarsal

KW - osseous cyst

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Osteolytic Lesion of the First Metatarsal After Catfish Spine Injury: A Case Report

Abstract

Keywords

ASJC Scopus subject areas

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