'Bastard bush': acacia thorn injuries and management.
accident & emergency medicine
adult orthopaedics
orthopaedic & trauma surgery
primary care
Journal
Journal of the Royal Army Medical Corps
ISSN: 2052-0468
Titre abrégé: J R Army Med Corps
Pays: England
ID NLM: 7505627
Informations de publication
Date de publication:
Jun 2019
Jun 2019
Historique:
received:
06
05
2018
revised:
08
08
2018
accepted:
09
08
2018
pubmed:
13
9
2018
medline:
19
12
2019
entrez:
13
9
2018
Statut:
ppublish
Résumé
This case report outlines the presentation and management of a young soldier who sustained a lower limb acacia thorn injury while on exercise in Kenya. The injury failed to heal with a subsequent ultrasound scan revealing a large retained thorn requiring surgical removal and wash out. From this case, lessons can be learnt regarding the management of thorn injuries, which are common in exercising troops in Kenya and indeed around the world. The key take-home messages are always consider a retained thorn if wounds fail to settle, use ultrasound as the imaging modality of choice, always remove identified retained thorns and if antibiotics are required use broad-spectrum antibiotics pending culture results.
Identifiants
pubmed: 30206102
pii: jramc-2018-000978
doi: 10.1136/jramc-2018-000978
doi:
Substances chimiques
Anti-Infective Agents
0
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
204-205Informations de copyright
© Author(s) (or their employer(s)) 2019. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.