High-Pressure Injection to the Great Toe with River Water

摘要

CASE: A 53-year-old male sustained a high-pressure wa- ter injection injury to his foot while working in a river. He was taken to the operating room for emergent irriga- tion and debridement of copious riverbed sediment. Cul- tures taken from the operating room were positive for multiple anaerobes, fungus and mold and he was treated with appropriate antibiotics. To date, his only residual deficit is a 1 cm area of numbness at the entrance wound. CONCLUSION: High-pressure water injections to the foot are uncommon injuries. These are serious injuries that require emergent antibiotics, tetanus and surgical debridement.