Lionfish envenomation: Difference between revisions

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==Evaluation==
==Evaluation==
*Clinical diagnosis, no specific testing available
*Clinical diagnosis, no specific testing available
*Consider radiography as retained foreign bodies are common
*Consider radiography as retained foreign bodies are common<ref>*Hobday D, Chadha P, Din AH, Geh J. Denaturing the Lionfish. Eplasty. 2016 May 23;16:ic20. PMID: 27298709; PMCID: PMC4892334.</ref>


==Management==
==Management==
*Clean wound, update [[tetanus prophylaxis|tetanus]], remove retained tissue
*Clean wound, update [[tetanus prophylaxis|tetanus]], remove retained tissue
*One fifth of wounds develop local infection, but prophylactic antibiotics remain controversial  
*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
*Immerse extremity in hot water (45 C) for 30-60 minutes
*Stonefish envenomations with severe toxicity can be treated with antivenin obtained through poison control
*Stonefish envenomations with severe toxicity can be treated with antivenin obtained through poison control
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==References==
==References==
*Hobday D, Chadha P, Din AH, Geh J. Denaturing the Lionfish. Eplasty. 2016 May 23;16:ic20. PMID: 27298709; PMCID: PMC4892334.
[[Category:Toxicology]]
[[Category:Toxicology]]

Revision as of 22:36, 14 November 2019

Background

  • From the Scorpaenidae family of camouflaged bottom-dwelling fish
  • Fins have spine connected to venom glands which inject venom when agitated
Lionfish.jpg

Clinical Features

Differential Diagnosis

Marine toxins, envenomations, and bites

Evaluation

  • Clinical diagnosis, no specific testing available
  • Consider radiography as retained foreign bodies are common[1]

Management

  • Clean wound, update tetanus, remove retained tissue
  • One fifth of wounds develop local infection, but prophylactic antibiotics remain controversial [2]
  • Immerse extremity in hot water (45 C) for 30-60 minutes
  • Stonefish envenomations with severe toxicity can be treated with antivenin obtained through poison control

Disposition

See Also

References

  1. *Hobday D, Chadha P, Din AH, Geh J. Denaturing the Lionfish. Eplasty. 2016 May 23;16:ic20. PMID: 27298709; PMCID: PMC4892334.
  2. *Hobday D, Chadha P, Din AH, Geh J. Denaturing the Lionfish. Eplasty. 2016 May 23;16:ic20. PMID: 27298709; PMCID: PMC4892334.