Cone shell envenomation: Difference between revisions
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==Differential Diagnosis== | ==Differential Diagnosis== | ||
Anaphylaxis | *Anaphylaxis | ||
Cnidaria envenomation | *Cnidaria envenomation | ||
Sea snake envenomation | *Sea snake envenomation | ||
Shellfish envenomation | *Shellfish envenomation | ||
==Evaluation== | ==Evaluation== | ||
Revision as of 19:23, 4 January 2021
Background
- Conus genus includes 800 species
- Human fatality rates 15-75%
- Neurotoxin, paralytic venoms
Clinical Features
- Sharp prick to extreme pain
- Envenomation site: numbness, swelling, ischemia, cyanosis
- Systemic: weakness, sweating, visual changes, muscle paralysis, respiratory failure, cardiovascular collapse, coma
- Death can occur in 1-5 hours
Differential Diagnosis
- Anaphylaxis
- Cnidaria envenomation
- Sea snake envenomation
- Shellfish envenomation
Evaluation
Workup
Diagnosis
Management
No antivenom available ABC's Supportive care