Lionfish envenomation - Revision history

Jonrako: /* Disposition */

2021-09-01T02:15:10Z

Disposition

← Older revision		Revision as of 02:15, 1 September 2021
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	==Disposition==		==Disposition==
			Patients should be observed for 6-12 hours.

	==See Also==		==See Also==

Jonrako: /* Clinical Features */

2021-09-01T02:13:44Z

Clinical Features

← Older revision		Revision as of 02:13, 1 September 2021
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	[[File:PMC4373524 40409 2015 7 Fig6 HTML.png\|thumb\|Edema and erythema in the right hand of a patient two hours after puncture in the middle finger.]]		[[File:PMC4373524 40409 2015 7 Fig6 HTML.png\|thumb\|Edema and erythema in the right hand of a patient two hours after puncture in the middle finger.]]
	[[File:PMC4373524 40409 2015 7 Fig5 HTML.png\|thumb\|Edema and erythema on the index and medium fingers of the right hand after sting to index finger.]]		[[File:PMC4373524 40409 2015 7 Fig5 HTML.png\|thumb\|Edema and erythema on the index and medium fingers of the right hand after sting to index finger.]]
	*Local erythema, ecchymosis, swelling		*Local erythema, ecchymosis, swelling, & variable skin changes (e.g. pallor vs. erythema vs. cyanosis) <ref>Hauglid, C., Kiel, J., & Schmidt, A. (2021, April 23). Emergen-Sea Medicine: Overview of Marine Envenomations - Page 9 of 9. ACEP Now.https://www.acepnow.com/wp-content/uploads/2021/08/ACEP_August-2021.pdf</ref>
	*Intense, sharp pain		*Intense, sharp pain
	*Symptoms peak at 60-90 minutes		*Symptoms peak at 60-90 minutes
	*Duration: 1-2 days		*Duration: 1-2 days
			*Lesions can progress to hemorrhagic bullae with necrosis.
			*Systemic effects are similar to [[stonefish]].

	==Differential Diagnosis==		==Differential Diagnosis==

Jonrako: /* Background */

2021-09-01T02:11:13Z

Background

← Older revision		Revision as of 02:11, 1 September 2021
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	*Number of camouflaged bottom-dwelling fish fish species within family Scorpaenidae, mostly found in the Indo-Pacific		*Number of camouflaged bottom-dwelling fish fish species within family Scorpaenidae, mostly found in the Indo-Pacific
	*Also called zebrafish, firefish, turkeyfish, tastyfish or butterfly-cod		*Also called zebrafish, firefish, turkeyfish, tastyfish or butterfly-cod
			*The fish have alternating brown, to orange and white stripes or spots.
			*They are common to home aquariums & account for the majority of spiny fish related calls to the poison control center in the U.S.<ref>Hauglid, C., Kiel, J., & Schmidt, A. (2021, April 23). Emergen-Sea Medicine: Overview of Marine Envenomations - Page 9 of 9. ACEP Now.https://www.acepnow.com/wp-content/uploads/2021/08/ACEP_August-2021.pdf</ref>
	*Fins have spine connected to venom glands which inject venom when agitated		*Fins have spine connected to venom glands which inject venom when agitated

Rossdonaldson1 at 19:40, 11 March 2021

2021-03-11T19:40:27Z

← Older revision		Revision as of 19:40, 11 March 2021
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	*Local erythema, ecchymosis, swelling		*Local erythema, ecchymosis, swelling
	*Intense, sharp pain		*Intense, sharp pain
	*Australian stonefish can cause systemic toxicity:
	**[[Hypotension]], [[tachycardia]], [[arrhythmia]], [[syncope]], [[vomiting]], and [[pulmonary edema]]
	*Symptoms peak at 60-90 minutes		*Symptoms peak at 60-90 minutes
	*Duration: 1-2 days		*Duration: 1-2 days
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	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>		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

	==Disposition==		==Disposition==

Rossdonaldson1: /* Clinical Features */

2021-03-11T18:59:41Z

Clinical Features

← Older revision		Revision as of 18:59, 11 March 2021
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	==Clinical Features==		==Clinical Features==
	[[File:PMC4373524 40409 2015 7 Fig6 HTML.png\|thumb\|Edema and erythema in the right hand of a patient two hours after puncture in the middle finger.]]		[[File:PMC4373524 40409 2015 7 Fig6 HTML.png\|thumb\|Edema and erythema in the right hand of a patient two hours after puncture in the middle finger.]]
			[[File:PMC4373524 40409 2015 7 Fig5 HTML.png\|thumb\|Edema and erythema on the index and medium fingers of the right hand after sting to index finger.]]
	*Local erythema, ecchymosis, swelling		*Local erythema, ecchymosis, swelling
	*Intense, sharp pain		*Intense, sharp pain

Rossdonaldson1: /* Clinical Features */

2021-03-11T18:57:26Z

Clinical Features

← Older revision		Revision as of 18:57, 11 March 2021
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	==Clinical Features==		==Clinical Features==
			[[File:PMC4373524 40409 2015 7 Fig6 HTML.png\|thumb\|Edema and erythema in the right hand of a patient two hours after puncture in the middle finger.]]
	*Local erythema, ecchymosis, swelling		*Local erythema, ecchymosis, swelling
	*Intense, sharp pain		*Intense, sharp pain

Rossdonaldson1: /* Background */

2021-03-11T18:54:56Z

Background

← Older revision		Revision as of 18:54, 11 March 2021
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	==Background==		==Background==
	[[File:Lionfish.jpg\|thumb\|]]		[[File:Lionfish.jpg\|thumb\|]]
	*~~From the Scorpaenidae family~~ of camouflaged bottom-dwelling fish		*Number of camouflaged bottom-dwelling fish fish species within family Scorpaenidae, mostly found in the Indo-Pacific
			*Also called zebrafish, firefish, turkeyfish, tastyfish or butterfly-cod
	*Fins have spine connected to venom glands which inject venom when agitated		*Fins have spine connected to venom glands which inject venom when agitated

Rossdonaldson1 at 18:48, 11 March 2021

2021-03-11T18:48:04Z

← Older revision		Revision as of 18:48, 11 March 2021
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	==Background==		==Background==
			[[File:Lionfish.jpg\|thumb\|]]
	*From the Scorpaenidae family of camouflaged bottom-dwelling fish		*From the Scorpaenidae family of camouflaged bottom-dwelling fish
	*Fins have spine connected to venom glands which inject venom when agitated		*Fins have spine connected to venom glands which inject venom when agitated

	~~[[File:Lionfish.jpg\|thumb\|]]~~

	==Clinical Features==		==Clinical Features==

Rossdonaldson1: /* References */

2019-11-14T22:38:10Z

References

← Older revision		Revision as of 22:38, 14 November 2019
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	==References==		==References==
			<references/>
			[[Category:Environmental]]
	[[Category:Toxicology]]		[[Category:Toxicology]]

Rossdonaldson1 at 22:36, 14 November 2019

2019-11-14T22:36:58Z

← Older revision		Revision as of 22:36, 14 November 2019
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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]]