Coral Cuts Overview

Corals are animals that have calcified outer skeletons with sharp edges. Coral formations occur in tropical and subtropical waters. Because coral formations are rigid and sharp, injury can occur after accidental contact, leaving a small amount of animal protein and calcareous material in the wound. The small, harmless-appearing cut may quickly develop into an infected wound. Some corals contain nematocysts, which can produce a more significant injury (see Jellyfish Stings and Fire Coral Cuts).

Coral Cuts Symptoms

  • The inflamed, swollen, red, tender wound develops into a festering sore or ulcer with a pustular (infectious) drainage.

  • Spreading redness of the skin around the wounded area suggests expanding infection and requires immediate medical attention.

Coral Cuts Treatment

  • Scrub with soap and water and then flush with fresh water.

  • If the wound stings, rinse it with acetic acid (vinegar) or isopropyl alcohol.

  • Flush the wound with a mixture of one half water and one half hydrogen peroxide to remove coral dust and then flush with fresh water.

  • Rinse daily and apply Bacitracin (an antibiotic) ointment 3-4 times per day.

  • Oral antibiotics are usually recommended to prevent infection. If infection develops, continue antibiotics for at least 5 days after all signs of infection have cleared. Check for drug allergy prior to starting any antibiotic. A doctor can recommend the right antibiotic. Some antibiotics can cause increased sensitivity to the sun, so use a sunscreen (at least SPF 15).

  • If no evidence of infection or open wound is present, an over-the-counter steroid ointment may be used to relieve itching.

  • Pain may be relieved with 1-2 acetaminophen (Tylenol) every 4 hours and/or 1-2 ibuprofen (Motrin, Advil) every 6-8 hours.

 

When to Seek Medical Care

  • Seek medical treatment in cases of severe cuts or infection.

  • A doctor should be consulted about treatment with available medications.