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Localised tissue necrosis from marine puncture injury: first aid, definitive management and review of the literature
Deon A Viljoen1, Jessica Andrews2
1 Occupational Underwater Medicine, NSW, Australia
2 Molecular Biotechnology, Joondalup, WA, Australia
Corresponding author: Dr Deon Viljoen, Occupational Underwater Medicine, 39A Pell Street, Merewether, NSW, 2291, Australia
ORCiD: 0009-0000-0124-6350
Keywords
Case reports; First aid; Marine envenomation; Microbiology; Necrotising infections; Risk management; Surgery
Abstract
(Viljoen DA, Andrews J. Localised tissue necrosis from marine puncture injury: first aid, definitive management and review of the literature. Diving and Hyperbaric Medicine. 2025 30 September;55(3):289−293. doi: 10.28920/dhm55.3.289-293. PMID: 40986927.)
We discuss a case of tropical marine envenomation from an unidentified marine creature via a penetrating injury to the left ring finger resulting in localised tissue necrosis. We present an evidence-based review of marine puncture wounds including first aid, hot water immersion therapy, antibiotic selection and definitive management.
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