I stepped on a long, dirty and rusty nail

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SUMMARY

The forum discussion centers on a user who stepped on a long, dirty, rusty nail, resulting in significant pain and potential injury to their foot, particularly the smallest toes. Multiple responses emphasize the urgency of seeking medical attention, highlighting the risks of tetanus and serious infections such as cellulitis and gangrene. Users unanimously recommend visiting a doctor immediately for proper treatment, including a tetanus booster and possible antibiotics. The consensus is clear: neglecting this injury could lead to severe complications.

PREREQUISITES
  • Understanding of puncture wound risks and complications
  • Knowledge of tetanus and its prevention
  • Awareness of infection symptoms and treatment
  • Familiarity with emergency medical procedures
NEXT STEPS
  • Research the importance of tetanus vaccinations and when they are needed
  • Learn about the signs and symptoms of infections related to puncture wounds
  • Investigate the protocols for emergency medical treatment of wounds
  • Understand the implications of neglecting medical care for injuries
USEFUL FOR

This discussion is beneficial for individuals who have sustained puncture wounds, parents of children who may encounter similar injuries, and anyone interested in understanding the importance of timely medical intervention for injuries.

  • #121
I think it's usually any dirty wound. Puncture wounds are the most likely to harbor tetanus bacteria, because the deeper parts provide good anaerobic conditions for the bacteria to thrive.

It was interesting to read the one site that commented that people don't always realize when something has punctured through their shoe into their foot that while the sharp object is not left behind, bits of sock and rubber from the shoe sole might be still embedded in the wound. But, I guess with feet, they're almost always dirty, whether it was the shoe the object punctured through, or that you've been walking around barefoot through dirt. Every site I went to was especially particular about foot wounds needing a tetanus shot and immediate medical treatment.

But, I'd suspect if I got anything more than a superficial scratch while working at the farm, they'd want to give me a tetanus booster. As it is, even though most people get a regular booster every 10 years, I'm now required to get them every 5 years since I work in an environment where injuries that could expose me to tetanus bacteria are pretty likely.
 
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  • #122
Monique, there's a possibility that your case was an allergic reaction. While I don't know the particulars, I do know that a lot of shells contain toxins of the same kind produced by the shellfish for defense. If you have a seafood sensitivity, that would just make it worse.
 
  • #123
Danger said:
Monique, there's a possibility that your case was an allergic reaction. While I don't know the particulars, I do know that a lot of shells contain toxins of the same kind produced by the shellfish for defense. If you have a seafood sensitivity, that would just make it worse.
Oh, but there was no actual animal in the shell. It was a beach made out of old shells instead of a sand beach, so anywhere that you'd hit the bottom there'd be shells. The weird thing was that when the doctor had opened the wound all the pain was gone and I could move my hand again.
 
  • #124
Well, I wasn't actually referring to the presence of the organism. The point is that some of the biotoxins are incorporated into the shell while it's growing, and remain there permanently. Coral is absolutely notorious for that. Just about anyone who has nicked himself on a reef has severely regretted it. The symptoms that I've read about are identical to yours.
 

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