High pressure paint gun injury of the index finger: a case report

Yazar, Memet; Gül, Zeliha; Gunenc, Ali Can; Yazar, Sevgi Kurt; Kozanoğlu, Erol

doi:10.4103/2347-9264.169498

Cited by 3 publications

(3 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…12 Continuous dilution of the bacterial bioburden potentially reduced the extent of infection, demonstrated by the limited subcutaneous purulence demonstrated at the second debridement. Infection can cause significant damage to the neurovascular bundles and flexor tendons in delayed paint injection injuries, 13 and ultimately affect the recovery prognosis. The second was for the purposes of removing paint debris from the wounds.…”

Section: Discussionmentioning

confidence: 99%

Catheter irrigation as an unutilized novelty in the treatment of water-based paint injection injuries – a case illustration

Jeyaratnam

Angus

2021

JPRAS Open

View full text Add to dashboard Cite

High-pressure injection injuries with paint have long been heralded as a condition requiring timely and aggressive debridement with relatively poor functional outcomes and a significant proportion of patients progressing to require amputation of the involved digit or limb. Catheter irrigation is regularly used in the treatment of common hand infections and wounds. However, this has not been described for the treatment of paint injection injuries. We describe a case of a young painter who sustained an accidental water-based paint injection injury and was successfully treated with minimally invasive surgical debridement augmented by the use of catheter irrigation, despite a delayed presentation. The patient had regained full function of his hand by four months from the index presentation and returned to work. We illustrate how not all high-pressure injection injuries require an extensive incision and that catheter irrigation can be a significant tool to augment a minimally invasive approach.

show abstract

Section: Discussionmentioning

confidence: 99%

Catheter irrigation as an unutilized novelty in the treatment of water-based paint injection injuries – a case illustration

Jeyaratnam

Angus

2021

JPRAS Open

View full text Add to dashboard Cite

show abstract

“…While official guidelines do not exist as to whether I&D is indicated for this injury, several case reports suggest that I&D is not successful in fully addressing the extent of paint injection injuries and surgery is indicated regardless of the injury location. 1,4,5 The management of this patient was unique given the rarity, acuity, and severity of his presentation and the lack of concrete guidelines for a high-pressure paint injection injury to the face. Based on our literature review, there have only been two prior cases reporting high-pressure injection injury to the face, neither of which underwent acute surgical management from the ED.…”

Section: Discussionmentioning

confidence: 99%

High-Pressure Injection Injury of the Face: A Case Report on Presentation and Management

Zitelny

Briggs

Little

et al. 2020

Clinical Practice and Cases in Emergency Medicine

View full text Add to dashboard Cite

Introduction: High-pressure injection injuries have been chronicled for decades. These injuries often affect distal extremities as they are most commonly involved in workplace accidents. However, we discuss a young male with a paint-gun injection injury to his face. Case Report: We discuss the case of a young man presenting to the emergency department after high-pressure injection injury to the face. He eventually underwent extensive debridement of the face. We discuss differences in caring for an injection wound to an extremity versus the face, including time sensitivity of treatment, initial stabilizing measures, and critical steps. Discussion: This case demonstrates a rare presentation of a high-pressure paint injection injury. This injury presented a unique surgical challenge where, despite compartment syndrome being less common, cosmetic outcome and infectious complication prevention remained critical priorities. Conclusion: While similarities exist in management of an injection injury to a limb, due to the rarity and deceptive appearance of this particular injury to the face, high suspicion along with urgent imaging and surgical consultation is warranted.

show abstract

“…Amputation rates in injuries with positive intraoperative cultures were identical to those with negative cultures [ 3 ]. A case report of a paint injection injury to the index finger reported cultures with gram-negative bacteria with the growth of Citrobacter freundii , Morganella morgani and Proteus vulgaris [ 8 ]. Other reports have demonstrated Enterobacteria following a high pressure paint injury; however, carbapenem resistance was not noted [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

A unique case report of a high-pressure paint injection injury of the hand with associated carbapenemase resistant Pseudomonas aeruginosa infection

Barger

Jenkins

Weng

et al. 2020

Journal of Surgical Case Reports

View full text Add to dashboard Cite

High pressure injection injuries to the hand should not be taken lightly as urgent surgical debridement is required to ensure favorable outcomes. Empiric antibiotic administration is recommended; however, few studies focus on the secondary infection risk associated with these high pressure injection injuries. We present a rare case of a patient presenting with carbapenem resistant Pseudomonas aeruginosa following a high pressure paint gun injury of the thumb. Urgent surgical debridement with administration of broad-spectrum antibiotic coverage for both gram-negative and gram-positive bacteria is recommended. The injection of foreign materials can cause extensive tissue damage and immunosuppression facilitating growth of opportunistic bacteria that are often rare in healthy adults. We advocate for obtaining cultures at initial debridement to optimize treatment in these unique and rare injection injuries. Concerns should be raised as carbapenem resistant bacteria become more prevalent in the community.

show abstract

High pressure paint gun injury of the index finger: a case report

Cited by 3 publications

References 9 publications

Catheter irrigation as an unutilized novelty in the treatment of water-based paint injection injuries – a case illustration

Catheter irrigation as an unutilized novelty in the treatment of water-based paint injection injuries – a case illustration

High-Pressure Injection Injury of the Face: A Case Report on Presentation and Management

A unique case report of a high-pressure paint injection injury of the hand with associated carbapenemase resistant Pseudomonas aeruginosa infection

Contact Info

Product

Resources

About