Stonefish envenomation: Difference between revisions
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==Clinical Features== | ==Clinical Features== | ||
[[File:PMC4862076 12995 2016 112 Fig1 HTML.png|thumb|Extensive erythema, gross swelling up to the entire index finger, dorsum, and distal third forearm from stonefish envenomation.]] | |||
*Local erythema, ecchymosis, swelling | *Local erythema, ecchymosis, swelling | ||
*Intense, sharp pain | *Intense, sharp pain | ||
Revision as of 19:20, 11 March 2021
Background
Clinical Features
- Local erythema, ecchymosis, swelling
- Intense, sharp pain
- Systemic toxicity:
Differential Diagnosis
Marine toxins, envenomations, and bites
- Toxins
- Ciguatera
- Scombroid
- Tetrodotoxin (e.g. pufferfish)
- Shellfish poisoning
- Amnesic shellfish poisoning
- Diarrheal shellfish poisoning
- Neurotoxic shellfish poisoning
- Paralytic shellfish poisoning
- Stingers
- Venomous fish
- Cone shell
- Lionfish
- Sea urchins
- Crown-of-Thorns Starfish
- Stonefish
- Other: Catfish, zebrafish, scorpion fish
- Nematocysts
- Coral reef
- Fire coral
- Jellyfish (Cnidaria)
- Portuguese man-of-war
- Sea anemones
- Seabather's eruption
- Phylum porifera (sponges)
- Bites
- Infections
Evaluation
Workup
Diagnosis
- Clinical diagnosis, no specific testing available
Management
- Clean wound, update tetanus, remove retained tissue
- One fifth of wounds develop local infection, but prophylactic antibiotics remain controversial [1]
- Immerse extremity in hot water (45 C) for 30-60 minutes
- Severe toxicity can be treated with antivenin obtained through poison control
Disposition
See Also
External Links
References
- ↑ *Hobday D, Chadha P, Din AH, Geh J. Denaturing the Lionfish. Eplasty. 2016 May 23;16:ic20. PMID: 27298709; PMCID: PMC4892334.