{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T11:24:25Z","timestamp":1790681065530,"version":"4.1.0"},"reference-count":21,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 9-year-old boy suffered incidental trauma to the anterolateral leg from the barb of a freshwater fish. Within a few days of injury, the patient developed a fever and a deep abscess despite empiric antibiotic therapy. The underlying pathogen was Edwardsiella tarda. This study is the first report of such an abscess in a child, and similar reported cases have in adults have been associated with high rates of mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Penetrating soft-tissue trauma in association with an aquatic environment requires prompt evaluation. Empiric antibiotic regimens effective against terrestrial cellulitis may lack adequate gram-negative coverage for aquatically related injuries.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.19.00464","type":"journal-article","created":{"date-parts":[[2020,5,5]],"date-time":"2020-05-05T21:24:08Z","timestamp":1588713848000},"page":"e0464-e0464","source":"Crossref","is-referenced-by-count":2,"title":["Treatment of an Abscess of the Leg in a Febrile Child After Incidental Trauma from the Barb of a Freshwater Fish"],"prefix":"10.2106","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3600-0881","authenticated-orcid":false,"given":"Kavin","family":"Sundaram","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Orthopaedic and Rheumatological Institute, Cleveland Clinic, Cleveland, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5751-7914","authenticated-orcid":false,"given":"Erin","family":"Ohliger","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Orthopaedic and Rheumatological Institute, Cleveland Clinic, Cleveland, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2601-6193","authenticated-orcid":false,"given":"Connor","family":"Hoban","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Orthopaedic and Rheumatological Institute, Cleveland Clinic, Cleveland, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David P.","family":"Gurd","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Orthopaedic and Rheumatological Institute, Cleveland Clinic, Cleveland, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020]]},"reference":[{"issue":"2","key":"bib1-20230720","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1016\/S0196-0644(89)80119-2","article-title":"Catfish stings: a report of three cases","volume":"18","author":"Zeman","year":"1989","journal-title":"Ann Emerg Med."},{"issue":"2","key":"bib2-20230720","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1016\/S0363-5023(10)80119-4","article-title":"Catfish stings to the hand","volume":"16","author":"Mann","year":"1991","journal-title":"J Hand Surg Am."},{"issue":"5","key":"bib3-20230720","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1097\/PRS.0b013e3181ef8ede","article-title":"Digital catfish envenomation mimicking necrotizing fasciitis","volume":"126","author":"Carty","year":"2010","journal-title":"Plast Reconstr Surg."},{"issue":"6","key":"bib4-20230720","doi-asserted-by":"crossref","first-page":"191","DOI":"10.5435\/JAAOS-D-16-00702","article-title":"Aquatic orthopaedic injuries","volume":"27","author":"Brophy","year":"2019","journal-title":"J Am Acad Orthop Surg."},{"issue":"5","key":"bib5-20230720","doi-asserted-by":"crossref","first-page":"747","DOI":"10.1177\/1040638717708584","article-title":"Lesions caused by virulent Aeromonas hydrophila in farmed catfish (Ictalurus punctatus and I. punctatus \u00d7 I. furcatus) in Mississippi","volume":"29","author":"Baumgartner","year":"2017","journal-title":"J Vet Diagn Invest."},{"key":"bib6-20230720","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1016\/j.aquaculture.2014.05.053","article-title":"Outbreaks of vibriosis associated with Vibrio mimicus in freshwater catfish in China","volume":"433","author":"Geng","year":"2014","journal-title":"Aquaculture."},{"issue":"4","key":"bib7-20230720","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1097\/00006454-199404000-00021","article-title":"Vibrio species infection of a catfish spine puncture wound","volume":"13","author":"Midani","year":"1994","journal-title":"Pediatr Infect Dis J."},{"key":"bib8-20230720","doi-asserted-by":"crossref","first-page":"288.e1","DOI":"10.1016\/j.avsg.2016.06.035","article-title":"Radial artery compression with threatened transection: catfish injury in a pediatric patient","volume":"39","author":"Reichert","year":"2017","journal-title":"Ann Vasc Surg."},{"issue":"1","key":"bib9-20230720","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1016\/j.wem.2013.10.010","article-title":"Catfish noodling forearm injury requiring urgent surgical treatment: a case report and review of the literature","volume":"25","author":"Kaar","year":"2014","journal-title":"Wilderness Environ Med."},{"issue":"3","key":"bib10-20230720","doi-asserted-by":"crossref","first-page":"689","DOI":"10.1093\/clinids\/14.3.689","article-title":"Catfish-related injury and infection: report of two cases and review of the literature","volume":"14","author":"Murphey","year":"1992","journal-title":"Clin Infect Dis."},{"issue":"2","key":"bib11-20230720","doi-asserted-by":"crossref","first-page":"176","DOI":"10.1001\/jama.1975.03240140036022","article-title":"Catfish stings","volume":"231","author":"Scoggin","year":"1975","journal-title":"JAMA."},{"issue":"6","key":"bib12-20230720","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1155\/2015\/702615","article-title":"Edwardsiella tarda bacteremia. A rare but fatal water- and foodborne infection: review of the literature and clinical cases from a single centre","volume":"26","author":"Hirai","year":"2015","journal-title":"Can J Infect Dis Med Microbiol."},{"issue":"8","key":"bib13-20230720","doi-asserted-by":"crossref","first-page":"917","DOI":"10.1111\/j.1742-1241.2005.00527.x","article-title":"Extraintestinal manifestations of Edwardsiella tarda infection","volume":"59","author":"Wang","year":"2005","journal-title":"Int J Clin Pract."},{"issue":"2","key":"bib14-20230720","first-page":"103","article-title":"Extraintestinal manifestations of Edwardsiella tarda infection: a 10-year retrospective review","volume":"161","author":"Nelson","year":"2009","journal-title":"J La State Med Soc."},{"issue":"2","key":"bib15-20230720","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1093\/cid\/ciu444","article-title":"Executive summary: practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the infectious diseases society of America","volume":"59","author":"Stevens","year":"2014","journal-title":"Clin Infect Dis."},{"issue":"15","key":"bib16-20230720","doi-asserted-by":"crossref","first-page":"1669","DOI":"10.1001\/archinte.164.15.1669","article-title":"Comparison of short-course (5 days) and standard (10 days) treatment for uncomplicated cellulitis","volume":"164","author":"Hepburn","year":"2004","journal-title":"Arch Intern Med."},{"issue":"suppl E","key":"bib17-20230720","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1093\/jac\/31.suppl_E.17","article-title":"Comparison of azithromycin, roxithromycin, and cephalexin penetration kinetics in early and mature abscesses","volume":"31","author":"Girard","year":"1993","journal-title":"J Antimicrob Chemother."},{"issue":"3","key":"bib18-20230720","first-page":"177","article-title":"Rapid resolution of cellulitis in patients managed with combination antibiotic and anti-inflammatory therapy","volume":"75","author":"Dall","year":"2005","journal-title":"Cutis."},{"issue":"4","key":"bib19-20230720","doi-asserted-by":"crossref","first-page":"377","DOI":"10.3109\/00365549709011834","article-title":"Antibiotic and prednisolone therapy of erysipelas: a randomized, double blind, placebo-controlled study","volume":"29","author":"Bergkvist","year":"1997","journal-title":"Scand J Infect Dis."},{"issue":"2","key":"bib20-20230720","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1080\/003655498750003708","article-title":"Relapse of erysipelas following treatment with prednisolone or placebo in addition to antibiotics: a 1-year follow-up","volume":"30","author":"Bergkvist","year":"1998","journal-title":"Scand J Infect Dis."},{"issue":"10","key":"bib21-20230720","doi-asserted-by":"crossref","first-page":"1034","DOI":"10.1001\/archinte.168.10.1034","article-title":"Use of corticosteroids in treating infectious diseases","volume":"168","author":"McGee","year":"2008","journal-title":"Arch Intern Med."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.19.00464","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:45:13Z","timestamp":1787751913000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.19.00464"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2020]]},"references-count":21,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.19.00464","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020]]}}}