Puncture WoundMedical Author:
Barbara J Blasko, MD
Coauthor:
Scott E Rudkin, MD
Medical Editor:
Charles Patrick Davis, MD, PhD
Charles Patrick Davis, MD, PhDDr. Charles "Pat" Davis, MD, PhD, is a board certified Emergency Medicine doctor who currently practices as a consultant and staff member for hospitals. He has a PhD in Microbiology (UT at Austin), and the MD (Univ. Texas Medical Branch, Galveston). He is a Clinical Professor (retired) in the Division of Emergency Medicine, UT Health Science Center at San Antonio, and has been the Chief of Emergency Medicine at UT Medical Branch and at UTHSCSA with over 250 publications.
Puncture Wound OverviewA puncture wound is caused by an object piercing the skin and creating a small hole. Some punctures are just on the surface. Others can be very deep, depending on the source and cause. A puncture wound does not usually result in excessive bleeding. Usually, these wounds close fairly quickly without any intervention. Treatment may be necessary to prevent infection in some wounds. A puncture wound from a cause such as stepping on a nail can become infected because the object that caused the wound may carry bacteria or spores Clostridium spp that cause tetanus into the skin and tissue. The subject of puncture wounds discussed here is meant to cover only the non-lifethreatening wounds, and is not an article that covers deep organ penetrating wounds seen with guns, large knives, lances or other similar objects. Puncture Wound CausesCommon causes of puncture wounds are wood splinters, pins, nails, and glass. Puncture wounds may also be caused by objects such as scissors and knives. Almost any sharp object can potentially cause a puncture wound. Viewer Comments & ReviewsPuncture Wound - CausesThe eMedicineHealth physician editors ask:What was the cause of your puncture wound? |
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Puncture Wound
Tetanus Overview
Tetanus is an infectious disease caused by contamination of wounds from the bacteria Clostridium tetani, or the spores they produce that live in the soil, and animal feces. Tetanus has been recognized for centuries; the term is derived from the ancient Greek words tetanos and teinein, meaning taut and stretched, which describe the condition of the muscles affected by the toxin, tetanospasm, produced by Clostridium tetani. The causative bacterium, Clostridium tetani, is a hardy organism capable of living many years in the soil in a form called a spore. The bacterium was first isolated in 1889 by S. Kitasato while he was working with R. Koch in Germany. Kitasato also found the toxin responsible for tetanus and developed the first protective vaccine against the disease.
Tetanus occurs when a wound becomes contaminated with Clostridium tetani bacterial spores. Infection follows when spores become ...
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This article discusses the management of chronic wounds.
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