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TOTAL AQUARIUMS

Chief of the Tang Police
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If you haven't been by the store yet, we have a 150 reef display right on the front counter. Wednesday night that tank started leaking and Thursday afternoon we had to replace it entirely. All the live rock and inhabitants were removed and placed in buckets until the new tank could be placed and plumbed. Once everything was in place I qquickly set about replacing the refugees from the original setup.

Somewhere along the line I managed to puncture, very slightly, so slightly there wasn't even any blood or pain of any kind, my right middle finger. This is not the first time I have received a small abrasion or other injury from live rock. It was so superficial I barely noticed it until later that night.

Friday morning I woke up and the same finger had swelled a little and felt tight. Nothing I haven't experienced before, it usually goes away in a day or two with no other symptoms. Over the course of the day it got a little worse, turned red and migrated up to the first knuckle (9pm). By about 12am I noticed the back of my hand was a little swollen now and the red patch was becoming more defined. At 3am the infectioned manifested a streak that started on the back of my hand and ended at my elbow. Whatever it was it had gained speed and was aggressive.

I quickly drove to the ER out here by me and over the next 12 hours received 2 IV bags of doxycycline and another antibiotic I can't remember the name of. The Doxy coupled with the pain now coming from my hand was bad enough they gave me Morphine and another pain killer through the IV and kept me overnight. I had to meet with a disease specialist earlier this morning to discuss options and possible further treatment. They released me about an hour ago with a prescription for a heavy dose of cypro to take over the next few days and I still need to come back in a week to check and see if we knocked it out.

I was planning on waiting until the morning to go see my doctor and deal with it but had I done that the infection could have spread to my bones and it would have been really bad, maybe even resulting in amputation. As it was it had already spread to my lymph system when I showed up at the ER.

I am not writing this for sympathy. This happened because I made a stupid mistake and ignored it. I've probably handled, literally, tons of live rock and other aquatic organisms for years and never had any issues. I fell into a false sense of security and this was a serious wakeup call.

There are so many possible suspects as far as what caused this particular event that the massive dose of antibiotics is still just a shot in the dark. They seem to be working and hopefully the cypro can finish the job but it's still a big guessing game. Do not let this scare you out of the hobby or go get padlocks for your tanks. Just take this as a reminder that there are things in our tanks that can cause major damage to us or even kill us outright. I'll post pics of what happened in a bit, but let this be a lesson and a reminder to everyone. Protect yourself. I could of just as easily fallen asleep and woken up the next morning with a VERY serious problem. Don't let any children stick their hands in tanks unsupervised or without any kind of protection.

stupid1.jpg


That pic is of the effected area about 48 hours after contact. This is also after 4 bags of broad spectrum antibiotic IV and a 750mg cipro so it's already better than it was when I went to the ER. I messed with the pic to better show the red and the swelling. The ink is so we can track the infection and make sure it isn't growing.
 
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TOTAL AQUARIUMS

Chief of the Tang Police
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I was going to look for a good pair of neoprene gloves, just worried about my hands. The worst part was waking up still a bit under the morphine and seeing what they called french toast. Imagine the plastic pieces of play french toast you saw with those playschool kitchen sets, now imagine it slightly warmed and without syrup. Can you believe that crap? Those sons of B's didn't even give me syrup! I quickly sent out a mass text for IHOP to be delivered to my apt for later lol.
 

ClosetFishGeek

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I was going to look for a good pair of neoprene gloves, just worried about my hands. The worst part was waking up still a bit under the morphine and seeing what they called french toast. Imagine the plastic pieces of play french toast you saw with those playschool kitchen sets, now imagine it slightly warmed and without syrup. Can you believe that crap? Those sons of B's didn't even give me syrup! I quickly sent out a mass text for IHOP to be delivered to my apt for later lol.

lol......yuk....And the neoprene dive gloves are a much better idea.....Good one...I love IHOP pancakes...
 

D1J8Z

Advanced Reefer
Location
oceanside, NY
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After being stung in DR and thinking I could just fight through it, that lasted a whole 24 hours just like you did. I will never wait again to go to a doctor again.

Hope you feel better.
 

TOTAL AQUARIUMS

Chief of the Tang Police
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Tobin, even if you use base rock for your structure, the majority of the micro fauna and flora along with a ton of bacteria is going to come in on the corals. Corals would be the biggest contributors since they are shipped in water thus preserving just about everything on it.

The other issue, as I discussed with the infectious disease specialist, is that the sheer volume of possible things that can cause these reactions in our tank makes it almost impossible to pinpoint a single one. The best way to attack it is to start with massive doses of broad spectrum antibiotics and see if it responds. Then work your way down.

I think the best way to protect yourself besides the physical protection, is to have even a minor working knowledge of what's in your tank that can injure you like this. If I walked in there with an "I have no idea" they might not have taken the same measures and at that point it was already in my lymph system.

My best advice though is to not dismiss this, that's how I ended up in the ER at 3am.
 

michael stern

Advanced Reefer
Location
new rochelle
Rating - 99.1%
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Last year I spent 5 days in the hospital.
Massive infection started in my finger.
Best guess was a bacteria marinum(sp?).
Damn thing almost killed me.

It's not a joke.
ALWAYS wear gloves.

Hope you feel better soon.
 

Master Shake

captain of tying knots
Location
Lawrence
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i told you to wash your hands good when you got home. You should hav just let me put the corals in when it started to hurt. Martin said it's genetic, i agree. Some coral goo chemical probably got in your cut and irritated it. Feel better, i got you covered for sunday, you probably will be out for a few days. Get some rest and i wnat to see those pics.
 

ladyhealth

Experienced Reefer
Location
nyc
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Goldfrank is in fact pretty well know. If Jared goes to Bellevue though chances are slim that he will see Goldfrank directly. Often the ER is extremely busy and right now many of the first year residents may be the ones handling his case. If it doesn't get better then one of our MD forum buddies should put in a call for Jared:)
 

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