Stonefish envenomation: Difference between revisions
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==Clinical Features== | ==Clinical Features== | ||
*Local erythema, ecchymosis, swelling | |||
*Intense, sharp pain | |||
*Systemic toxicity: | |||
**[[Hypotension]], [[tachycardia]], [[arrhythmia]], [[syncope]], [[vomiting]], and [[pulmonary edema]] | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{Marine envenomation DDX}} | |||
==Evaluation== | ==Evaluation== | ||
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===Diagnosis=== | ===Diagnosis=== | ||
*Clinical diagnosis, no specific testing available | |||
==Management== | ==Management== | ||
*Clean wound, update [[tetanus prophylaxis|tetanus]], remove retained tissue | |||
*One fifth of wounds develop local infection, but prophylactic antibiotics remain controversial <ref>*Hobday D, Chadha P, Din AH, Geh J. Denaturing the Lionfish. Eplasty. 2016 May 23;16:ic20. PMID: 27298709; PMCID: PMC4892334.</ref> | |||
*Immerse extremity in hot water (45 C) for 30-60 minutes | |||
*Severe toxicity can be treated with antivenin obtained through poison control | |||
==Disposition== | ==Disposition== | ||
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==See Also== | ==See Also== | ||
*[[Marine toxins and envenomations]] | |||
==External Links== | ==External Links== | ||
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==References== | ==References== | ||
<references/> | <references/> | ||
[[Category:Environmental]] | |||
[[Category:Toxicology]] | |||
Revision as of 19:15, 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.