Marine-related injuries and envenomations are common to the coastal physici
an, Needlefish injuries, which occur almost exclusively in the Indo-Pacific
region, have not previously been reported along the Atlantic seaboard. Thi
s case report describes a penetrating injury to the lower extremity from a
needlefish, Treatment is guided by general resuscitative procedures as well
as antibiotic therapy directed against infections unique to the marine env
ironment. (C) 1999 Elsevier Science Inc.