A recent query1 in The Journal concerns injury resulting from the penetration of tissue by fuel oil from a Diesel engine. Since the reply indicates that no such cases have been reported in the medical literature, the present case report and discussion may be of interest.
A motor mechanic, aged 47, was testing the jet of a Diesel engine. He was holding the jet, which he had removed from a cylinder head, about 1 inch from the tip of his right middle finger when he tripped the valve. Oil was forced from the jet into the finger at a pressure which he estimated to be about 4,000 pounds. There was immediate slight bleeding from several points in the finger-tip and pain, which gradually became intense. When I first saw the patient twenty-four hours later opiates were necessary to relieve the pain. At this time the finger and hand
Rees CE. PENETRATION OF TISSUE BY FUEL OIL UNDER HIGH PRESSURE FROM DIESEL ENGINE. JAMA. 1937;109(11):866–867. doi:10.1001/jama.1937.92780370004012c