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  Vol. 144 No. 8, August 2008 TABLE OF CONTENTS
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VIGNETTES
Neuroma Formation and Toe Amputation Resulting From Stonefish Envenomation

Ayelet Rishpon, MD; Zvi Cohen, MD; Sarah Brenner, MD

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Report of a Case

A 62-year-old woman was swimming in the Red Sea off Taba, Egypt and suddenly experienced pain, swelling, and violaceous discoloration of the left leg. At the site of this incident she saw what she later identified from pictures as a stonefish. After being treated at a local clinic with hot water immersion and intramuscular steroid injection, she crossed the border back into Israel and was admitted to a hospital, where intravenous antibiotic treatment with amoxicillin and clavulanate potassium was administered. She was discharged but soon presented to the emergency department with severe pain of the fourth left toe.

A tetanus shot was administered. A radiograph of the foot disclosed no evidence of necrosis, foreign body, or skeletal injury. Treatment with intravenous amoxicillin and clavulanate and oral doxycycline hyclate was begun. Over the next 4 weeks, the distal toe continued to swell . . . [Full Text of this Article]


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