Infected cut

Brando'sbow

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Hi everyone I was cleaning my aquarium on Sunday night and got a tiny cut which I didn’t even notice. Come Monday morning it was looking swollen red and painful. I saw a past post of this happening to someone resulting in a nasty infection. Going to go to the doctor tomorrow was simply hoping for any insight on type of infection/effective medications that might give the doctor some insight and direction in treating it. Here is a pic from 20 mins ago. Keep in mind there was no blood or noticeable pain when this happened.
IMG_7853.JPG
 
Let the Dr. know what caused the cut.
Did you have any palythoa or zoanthids on the rock that caused the cut? If so, the Dr. Will need to know that as well..

I’m sure that the rock didn’t cut me. What I am unsure of is whether it was the black plastic brace on my 36 bow or the edge of a reef octopus hob skimmer I was cleaning. It was such a shallow insignificant scratch that didn’t bleed or cause pain. This is why I didn’t immediately clean/sanitize the wound
 
Yes and has not had any effect started taking ammoicillin roughly 3.5 hrs ago took 2 then going to take one more before bed. Has no one else dealt with this reaction. With all the aquascaping and cleaning we participate in surely someone has had a similar circumstance.
 
Hope it improves soon.

I am in the habit of washing my hands, past my elbow, with soap and water thoroughly after putting them in the tank.

Mostly it's just to get the salt off, but I guess it helps with this too.

Never had a similar experience.
You may be prone to different bacteria.
I don't use gloves but a lot of people do.
It may be a good idea in the future.

Keep us updated please!
 
I have had small cuts and abrasions from live rock before. They would get red and appear infected. My go to was rinsing it well and lots of peroxide.

That said, having a Dr opinion is never a bad idea.
 
Depends from person to person aswell, some weeks ago i was cleaning up my reef and cut myself in the tank. It was something sharp on the rock, i felt it and saw blood popping out. I rinsed it with water, till it stopped with bleeding, finished what i was doing and forgot to threat the wound afterwards. Now with your topic it brought me back to mind, that i was lucky not getting any nasty infection from this.

There can be nasty infections from TBC in freshwater tanks, i'm not sure if it's in saltwater aswell.
 
There's no red streak marks on the arm that's a good sign

could happen to any of us agreed, receptivity to various minor infections ranges person to person and time to time

Agreed your fam doctor w be fine and keeping it clean and a topical ointment is best until he prescribes something specific based on a culture

This is a noted concern with the boon of reef aquariums in classrooms, elementary classrooms where receptivity to infection is really high compared to healthy adults

Kids are notorious cross contaminators if I recall 1980s correctly (classic finger to nose technique) a marine tank in a kid's classroom is a study in medical aseptic technique if you don't want to risk harm as much as it's a study of marine life. TBH, in an elementary setting with ready access to really small kids who will inevitably interact with the tank, or walk across a water splash and track it every where, the case can be made that the liability is too great for some.

A freshwater system isn't quite the same infection level risk, reef systems are specifically in the category of human infection potential as absolutely possible for any of us. I don't take any precautions whatsoever with my reef including palys, but if it zaps me one day I'll not be surprised. My kiddo wore gloves when handling but I never do. Very helpful thread very helpful documentation, the next twenty biology teacher threads researching reefs in the classroom can consider details here to keep the necessary medical control perspective, which is really good for a science classroom anyway.

0% of the threads I saw on the matter regarding reefs in elementary classrooms began with the safety handling aspects, they were always just about the interactions w kids and animals.
 
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Any cuts I have received, I've applied medicated salve. It does wonders pulling out foreign objects and bacteria from cuts and scrapes. (I use it for splinters too and they come out after aplying salve and a band-aide overnight).

Definitely doing the right thing seeing the doctor though as there are some nasty bacteria strains potentially living in our aquariums.
 
Probably something bactrim or keflex would take care of but be sure to mention how it happened. I live in the middle of Illinois so it was kind of weird when we had a girl come in for her hand swelling. She imports crabs and was pinched by one. She ended up with an ICU admit and infectious disease consult from the infection. Don't let it get to that point, call you pcp and get an Rx.
 
There's no red streak marks on the arm that's a good sign

could happen to any of us agreed, receptivity to various minor infections ranges person to person and time to time

Agreed your fam doctor w be fine and keeping it clean and a topical ointment is best until he prescribes something specific based on a culture

This is a noted concern with the boon of reef aquariums in classrooms, elementary classrooms where receptivity to infection is really high compared to healthy adults

Kids are notorious cross contaminators if I recall 1980s correctly (classic finger to nose technique) a marine tank in a kid's classroom is a study in medical aseptic technique if you don't want to risk harm as much as it's a study of marine life. TBH, in an elementary setting with ready access to really small kids who will inevitably interact with the tank, or walk across a water splash and track it every where, the case can be made that the liability is too great for some.

A freshwater system isn't quite the same infection level risk, reef systems are specifically in the category of human infection potential as absolutely possible for any of us. I don't take any precautions whatsoever with my reef including palys, but if it zaps me one day I'll not be surprised. My kiddo wore gloves when handling but I never do. Very helpful thread very helpful documentation, the next twenty biology teacher threads researching reefs in the classroom can consider details here to keep the necessary medical control perspective, which is really good for a science classroom anyway.

0% of the threads I saw on the matter regarding reefs in elementary classrooms began with the safety handling aspects, they were always just about the interactions w kids and animals.
Yes! Kids are germ warfare units!!!
 
Yes and has not had any effect started taking ammoicillin roughly 3.5 hrs ago took 2 then going to take one more before bed. Has no one else dealt with this reaction. With all the aquascaping and cleaning we participate in surely someone has had a similar circumstance.

The 2 bad ones are vibrio vulnificans and mycobacterium marinium especially if your immunocompromised. Neither one of these infections is treated with amoxicillin. The most common infection would be staph or strep - and neither of those is well treated with amoxicillin. I had something like this - required 2 weeks of augmentin (infectious disease md thought it was strep or staph). Definitely see a doctor (who has some expertise). If its getting worse - go to the ER.
 
Specifically mention to the doctor that you got it from working in a saltwater tank. Organisms like Vibrio live in those conditions and can cause major trouble (including death, unfortunately) if not addressed.

+1. I had a nasty vibrio infection in my hand years ago. Fortunately my doctor is a fellow reefer and he knew instantly what it was. Red may mean inflamed rather than infected, but go see your GP to be safe.
 
Not to freak you out but the right thing to do is to see a physician right away. If it’s vibrio, it could progress quickly and needs to be addressed ASAP.
Another infection that is known in saltwater is caused by mycobacterium marinun. This is more of a chronic condition which usually has a long incubation time and requires long term antibiotics treatment, usually with multiple meds.
Also you could have an infected skin cut by strep or staph.
There are some other things like foreign bodies that get inside cuts or chemical burn from coral stings or some invertebrates.
I don’t know who gave you amoxicillin but as someone said it isn’t effective against any of these things. They would most likely give you keflex, augmentin or bactrim. If they suspect m. Marinun they would give one of the tetracyclines on top of other meds.
Best thing to do is see someone right away and best if you visited an infectious disease specialist or a dermatologist.
Hope it gets better soon and keep us posted.
 
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As a medical professional, I would advise you to see your doctor as soon as you can or go to an acute care clinic. An aquarium forum isn't the best place to seek answers to medical questions like this. But I will say the chances that you're infected with something exotic from your reef are remote and a smaller cellulitis with purulent drainage, which yours looks to be, is more likely caused by Staph (particularly MRSA) or Strep. There's also a chance of Pseudomonas due to the water exposure, so I would inform them of that as they may pick a different antibiotic mix for you if they deem it relevant. I wouldn't self treat with amoxicillin as we don't commonly use that in cellulitis cases due to coverage issues and you also run the risk of selecting out a resistant organism.
 

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