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

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

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)
Journal	JBJS Case Connector
Volume	12
Issue number	3
State	Published - Jul 1 2022

ASJC Scopus subject areas

Surgery
Orthopedics and Sports Medicine

Cite this

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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.",

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

note = "Publisher Copyright: Copyright {\textcopyright} 2022 by The Journal of Bone and Joint Surgery, Incorporated.",

year = "2022",

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T1 - Osteolytic Lesion of the First Metatarsal After Catfish Spine Injury

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AU - Manchanda, Kshitij

AU - Rodriguez-Materon, Solangel

AU - Raudes, Adrianna

AU - SanGiovanni, Thomas Philip

PY - 2022/7/1

Y1 - 2022/7/1

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.

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

Abstract

ASJC Scopus subject areas

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