Lau, C.L.Sweet, M.Weinstein, P.2017-05-102017-05-102017Journal of Travel Medicine, 2017; 24(2):taw092-1-taw092-31195-19821708-8305http://hdl.handle.net/2440/105018We present a case report of a traveller injured by a needlefish in the Caribbean. The needlefish leapt from the ocean and struck the traveller's face at high speed, causing a seemingly superficial puncture wound on his nose. Later, it became apparent that multiple fish bones had broken off and lodged in his nasal cavity, very narrowly missing his cribriform plate. Some bones were discharged spontaneously through his nose over the next 3 months, and one required surgical removal. Our report highlights the importance of urgent radiological examination in patients injured by needlefish, even if the external wound appears insignificant.en© International Society of Travel Medicine, 2016. Published by Oxford University Press. All rights reserved.Needlefishinjurymarine injuryCaribbeanJournal article003006846810.1093/jtm/taw0920003980588000022-s2.0-85028656508348726Weinstein, P. [0000-0001-9860-7166]