• J Emerg Med · Dec 2020

    Case Reports

    A Blacktip Reef Shark Bite to the Hand in the Remote Solomon Islands.

    • Daniel Popa, Nancy Beach, and Charlotte Sadler.
    • Department of Emergency Medicine, Rush University Medical Center, Chicago, Illinois.
    • J Emerg Med. 2020 Dec 1; 59 (6): e213-e216.

    BackgroundSolomon Islands is a country in the South Pacific Ocean with excellent scuba diving, particularly among its remote islands that can be accessed by liveaboard dive boats. Blacktip reef sharks (Carcharhinus melanopterus) are found throughout the island nation and rarely attack humans.Case ReportWe present the case of a 42-year-old man who sustained a hand laceration after being bitten by a blacktip reef shark. He underwent complex primary wound closure in an austere environment and received prophylactic antibiotics. No infection developed and he recovered fully. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: We discuss our rationale in closing the wound aboard the dive boat, the choice of antibiotics, and review marine pathogens.Copyright © 2020 Elsevier Inc. All rights reserved.

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