Abstract
Objectives: To describe the clinical and therapeutic aspects of freshwater sting accidents in the city of Afuá in the state of Pará, Brazil. Method: A prospective, observational and longitudinal clinical study was carried out in 2017. Results: Thirteen cases of stinging accidents were investigated. Accidents were more frequent in males, in the age group of 11 to 20 years, and took, on average, one to three hours to receive medical attention. Accidents occurred during leisure activities in most cases. Acute pain was the main local manifestation. Systemic manifestations occurred in the majority of victims, with fever being the main symptom. Most developed with local complications and secondary infection. For treatment the therapy used consisted of: washing the spot, immersion in warm water, local anesthetic, debridement, drainage, suture, anti-inflammatories, antibiotics (Cephalexin, Cephalothin, Cefriaxone and Metronidazole) and Tetanus toxoid. Conclusion: Although this type of accident is common in Brazil, its nosology is little known by the medical profession, there is no specific treatment, and there are few studies in relation to the subject. There is a great need for more studies on the subject.