Urgent medical question

purge43

New member
I was moving some rock around and I got stabbed by some of those mini cocoa worm tubes. I dont know any other way to describe them, but they are similar to cocoa worms but are only about a 1/8th" long and a sixteenth inch in diameter and very very sharp.Their sort of clear or milky white in color and they seem to only grow on the underside of the rocks. And they seem to grow a whole bunch in one spot. Its been almost 48 hrs after it happened and my thumb is almost twice its normal size and the pain on a scale of 1 to 10 is about an 8. I need to see my doctor but dont exactly know what to tell him. Can somebody give them a name and what I should tell my doctor?
 
Pretty sure they're a type of vermetid snail. You likely got an infection from the puncture wound though. Might be a good idea to start AB's soon and be sure that the wound is cleaned out. Mycobacteria marinum is one of the types that people come across often with fishtank related infections.
 
It could have been a fireworm that you got stuck by, which have very poison hairs that stuck you. Did it feel like it was burning? They are very painful when handled. They look somewhat like a bristle worm.
 
Bearded Fireworms Deliver a Painful Sting
By Natalie Gibb, About.com Guide
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The bearded fireworm looks like a furry little punk-rock caterpillar. The first time most divers see this fuzzy monster, the immediate impulse is to touch it. DON'T. The bearded fireworm's white bristles contain potent venom.
Where Should Divers Watch for Bearded Fireworms?:
Bearded fireworms (Hermodice carunculata) can be found throughout the Caribbean, Tropical Western Atlantic, and near some islands, such as Ascension Island, in the Mid-Atlantic. Their range begins near the surface and drops to 130 feet or deeper. These bristleworms average between 4 and 6 inches, and can survive a great range of temperatures (from at least 66˚ F to 83 ˚ F).

Bearded Fireworms usually hide under rocks and rubble in the daytime. However, divers occasionally spot them crawling over hard and soft coral during the day. The fireworms eat coral by draping themselves over the coral tips and sucking the living coral animals out of their rocky skeletons. Anytime divers see colorful coral with dead white tips, it is a good clue that bearded fireworms are nearby.

Bearded fireworms move slowly and are not aggressive towards divers. Simply avoid touching the worms. A bearded fireworm will puff out its bristles to cover almost its entire back when it feels threatened. A diver can observe this effect by waving water at fireworm.

These creatures camouflage very well with almost any coral, as they range in color from bright reddish orange to greenish yellow and brown. Swim well away from coral to avoid accidentally brushing against a fireworm's painful bristles. A good precaution is to wear a full wetsuit or lycra diving skin as protection against accidental contact with bearded fireworms and other aquatic life.

What Happens When Divers Are Stung by Bearded Fireworms?

The bearded fireworm gets its name because once stung, the affected area feels like it is burning. The fireworm's stinging hairs are actually extremely brittle, hollow spines that can pierce and lodge in a diver's skin. The spines contain a neurotoxin that causes the burning sensation, occasionally accompanied by dizziness and nausea. The severe pain lasts for a few hours, and irritation can last for much longer. Signs and symptoms of a bearded fireworm sting also include inflammation/redness, swelling, and numbness.

First Aid for Bearded Fireworm Stings

Remove the spines from the skin. Most diving first aid kits will have tweezers to remove marine life spines. However, fireworm bristles are very small, and nearly transparent. This makes it difficult to see the spines and remove them with tweezers. A good trick is to gently press sticky tape onto the affected area, and then pull the tape away to remove the tiny spines.

Rubbing alcohol/ isopropyl alcohol or vinegar may help to alleviate the painful burning sensation caused by a bearded fireworm sting. Both alcohol and vinegar are standard in a diving first aid kit. If the irritation continues, hydrocortisone cream can be applied to the wound, and if infection is suspected, a topical antibiotic can be applied. Take ibuprofen or acetaminophen for the pain. If the pain is severe, does not go away, or infection is suspected, consult a doctor knowledgeable in marine life injuries.
 
I get to a doctor quickly. There are a number of exotic infections that can occur from a reef tank. Sounds like a vermetelid:

Here is a picture of one fyi:

http://www.melevsreef.com/id/vermetid.html

Might be an annelid tube.

In either case the infection/reaction is likely from micro organisims in the tank and could be quite serious.
 
Thanks for responding and to answer your question there was no burning , just throbbing intense pain. At times I can feel my pulse thru the throbbing. This has happened before but went away in 24hrs. I thought I was carefull and didnt grab where they were, but apparently I was wrong. Its kind of a delayed reaction, when i get hit with these things. At the time I make contact with them I feel absolutely no sensation at all. It takes a few hours for me to see the red marks and start to feel the pain. Its as though there is some kind of anthestetic during the puncture process. Rubber gloves didnt make any difference, they are so sharp they penetrated the glove with no hesitation.
 
So what was the verdict? I went to the hospital because I have the same thing happening now. I am getting nervous because I am on antibiotics for staph and things dont seem to be changing.
 
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