A case of a spine puncture wound caused by a sea urchin is herein reported. The patient was a 16-year-old male who was injured on both hands at the beach in Hawaii in August 1996. He visited our hospital after coming home, because of awareness of swelling and pain around the wounds, a limited movabiliry of the right 5th finger and lymph node swelling of his right elbow one week after suffering the injuries. He was treated with antibiotics and NSAIDs after the removal of many spines. A reddish nodule appeared on his right palm 2 months after his first visit. The nodule was histologically found to be a foreign body granuloma with a retained spine fragment. The findings of this case are reported while focusing on the diagnostic characteristics not clarified by normal X-rays.
All Science Journal Classification (ASJC) codes