High-pressure water-gun injection injuries are different from injection injuries that are caused by other agents, in that they are associated with extensive subcutaneous emphysema but only slight soft-tissue inflammation or destruction. The cases of six patients who had such an injury were reviewed. It was found that local irrigation and débridement, together with a short course of penicillin or a broad-spectrum cephalosporin, resulted in complete recovery from this relatively benign variant of high-pressure injection injury.

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