ðeɪ ɑːɹ ɐsˈoʊsɪˌeɪɾᵻd wɪð pˈɛnɪtɹˌeɪɾɪŋ wˈuːndz ɔːɹ ɐbɹˈeɪʒənz ðæt plˈeɪs ðə wˈuːnd ɪn kˈɑːntækt wɪð fɹˈɛʃ wˈɔːɾɚ ɔːɹ sˈɔɪl.
They are associated with penetrating wounds or abrasions that place the wound in contact with fresh water or soil.