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A Rare but Fatal Waterborne Infection

Published:January 15, 2021DOI:https://doi.org/10.1016/j.amjmed.2020.10.031
      A 58-year-old African American man with a history of hepatitis C and polysubstance abuse presented to the Emergency Department following a 1-day history of catfish sting to his left hand. Physical examination was notable for erythema and swelling over his left hand. Labs were significant for a white blood cell count of 1700/μL, lactic acidosis (serum lactate 16.3 mmol/L), creatinine kinase of 2458 Unit/L, creatinine of 1.27 mg/dL, and an international normalized ratio of 2.4. Computed tomography of the left extremity showed superficial soft tissue edema. He was started on broad-spectrum antibiotics for his severe wound infection.
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