ePoster
Talk Description
Institution: Northern Health - Victoria, Australia
Introduction
The male platypus (Ornithorhynchus anatinus), and the male Echidna, are the only mammals in the world with a functioning venom apparatus, with the platypus’s venom being released from a spur situated on their hind leg. These spurs are believed to be a mechanism for competing with rival male platypuses while mating. With platypuses being a threatened species endemic only to Australia’s eastern coastline and Tasmania, envenomation injuries are a rarely encountered clinical scenario, and their management is equally as elusive.
Case
A 55-year-old male right hand dominant zoologist, presented to the emergency department with significant pain and swelling in his left index finger approximately 90 minutes after suffering an envenomation from a platypus spur. He was admitted for IV antibiotics and a prompt surgical washout, being discharged home on day 2 post-op. He was followed up in both the plastic surgery outpatient department and with the hand therapy department locally. He made good recovery, with all symptoms fully resolving within 2 weeks of discharge.
Discussion
Platypus envenomation is a rare clinical scenario and to date, there are only 3 published case reports of platypus envenomation in the literature, all occurring in hands. This case represents the first documented case of platypus envenomation in a finger. Symptoms of platypus envenomation are localised, causing severe pain and hyperalgesia so treatment modalities for other forms of envenomation (pressure bandage immobilisation and hot water immersion) are not indicated and/or not effective in these cases. From previous literature and our experience in this case, IV antibiotics, prompt surgical washout and multimodal analgesia are the mainstays of treatment in these cases.
Speakers
Contributors
Authors
Dr Conor Cudden - , Dr Rory Middleton - , Dr Emily Horan - , Dr Conor Sugrue -
