101 results match your criteria: "Stingray Envenomation"
Stingray Injury Complicated by Vibrio alginolyticus Wound Infection and Posterior Tibial Artery Pseudoaneurysm in a Returning Traveler.
Am J Trop Med Hyg
December 2024
Hospital for Tropical Diseases, University College London Hospitals National Health Service Foundation Trust, London, United Kingdom.
Stingray injury is common in temperate and tropical waters worldwide. The majority of injuries are minor and can be managed with simple first aid at the shoreline; however, serious complications can occur. We report a case of Vibrio alginolyticus wound infection, retained foreign body, and posterior tibial artery pseudoaneurysm after stingray envenomation in a returning traveler.
View Article and Find Full Text PDFClinical Management of North American Snake and Marine Envenomations.
Emerg Med Clin North Am
August 2024
Department of Emergency Medicine, University of California San Diego, 1501 India Street, Suite 103-147, San Diego, CA 92101, USA. Electronic address:
Article Synopsis
- * Marine envenomations are likely underreported, making up only 3% to 4% of calls, indicating a gap in awareness or reporting.
- * The text reviews the epidemiology, clinical presentations, and management strategies for various North American snake species and marine envenomations, emphasizing the need for tailored treatment approaches.
Hot-Water Immersion (HWI) or Ice-Pack Treatment (IPT) as First Aid for Human Envenomation by Marine Animals? Review of Literature.
Toxins (Basel)
June 2024
Department of Regulatory and Forensic Toxicology, Institute of Medical Expertise, Łódź, ul. Aleksandrowska 67/93, 91-205 Łódź, Poland.
Article Synopsis
- Envenomation from marine animals is a global health issue, impacting locals and tourists in coastal areas, and this review aims to evaluate the best first-aid treatments.
- The focus is on comparing hot-water immersion (HWI) and ice-pack treatment (IPT) for immediate care of various marine stings, such as those from jellyfish and stingrays.
- The review also assesses other treatments like cold-water therapies, medications, and vinegar, while summarizing findings in organized tables to highlight the consensus on HWI and IPT effectiveness, yet acknowledging the complexity and variability of marine environments.
Bioactive Properties of Venoms Isolated from Whiptail Stingrays and the Search for Molecular Mechanisms and Targets.
Pharmaceuticals (Basel)
April 2024
Department of Biology, College of Arts & Sciences, Oberlin College and Conservatory, Oberlin, OH 44074, USA.
Article Synopsis
An Observational Study of Patient Characteristics and Environmental Risk Factors of Stingray Envenomations in San Diego, California.
Wilderness Environ Med
June 2024
Department of Emergency Medicine, University of California San Diego, San Diego, CA, US.
Introduction: Current literature on stingray envenomations focuses on the incidence, presentation, and complications of these injuries, with some studies providing such data for specific geographic locations. This is the first study to evaluate the influence of environmental factors and human characteristics on stingray envenomation patterns in San Diego, California.
Methods: Incident reports of injuries documented by the San Diego Fire-Rescue Department/Lifeguard Division (SDFR-LG) during 2017 were analyzed.
Stingray Impalement and Envenomation: Local Envenoming Causing Necrosis and Sepsis.
Wilderness Environ Med
March 2024
Assistant Professor, Department of Emergency Medicine, Thomas Jefferson University, Philadelphia, USA.
Accuracy of Emergency Medicine Residents Using Point-of-Care Ultrasound (POCUS) to Detect Retained Stingray Barbs.
J Emerg Med
December 2023
Department of Emergency Medicine, Grand Strand Medical Center, Myrtle Beach, South Carolina; University of South Carolina School of Medicine, Columbia, South Carolina.
Article Synopsis
- Stingray envenomation is common in coastal emergency departments, and while radiographs are the standard for detecting retained stingray barbs, ultrasound may also be useful.
- A study involving 32 emergency medicine residents assessed their ability to use ultrasound to identify stingray barbs in pig and chicken tissue models after a brief training session.
- Results showed that residents had moderate success in detecting barbs with varying sensitivity and specificity, but experience level did not significantly impact their accuracy.
Envenomations caused by fish in Brazil: an evolutionary, morphological, and clinical vision of a neglected problem.
Rev Soc Bras Med Trop
August 2023
Laboratório Especial de Toxinologia Aplicada do Instituto Butantan, São Paulo, SP, Brasil.
Article Synopsis
Venomous Bites, Stings and Poisoning by European Vertebrates as an Overlooked and Emerging Medical Problem: Recognition, Clinical Aspects and Therapeutic Management.
Life (Basel)
May 2023
Unit of Dermatology and Cosmetology, I.R.C.C.S. San Raffaele Hospital, Via Olgettina 60, 20132 Milan, Italy.
Article Synopsis
Stingray Envenomation: Consequences of an Embedded Spine.
Cureus
May 2023
Pesquerías y Biología Marina, Instituto Politécnico Nacional, Centro Interdisciplinario de Ciencias Marinas, La Paz, MEX.
Article Synopsis
- * The report discusses a case involving a Pacific cownose ray injury, highlighting complications from a retained spine in the foot that led to infection and tissue necrosis.
- * It emphasizes the importance of diagnostic imaging, like soft tissue radiographs and MRI, to detect barbs and prevent complications, noting that current treatment methods rely on limited scientific studies and various case reports.
Foreign stingers: South American freshwater river stingrays Potamotrygon spp. established in Indonesia.
Sci Rep
May 2023
Department of Zoology and Fisheries, Faculty of Agrobiology, Food and Natural Resources, Czech University of Life Science Prague, Kamýcká 129, 16500, Prague-Suchdol, Czech Republic.
The pet trade is known to be one of the most important pathways of aquatic non-native species introduction and Indonesia is a significant trade partner. Popular ornamental South American river stingrays (Potamotrygon spp.) were introduced to Indonesia in the 1980s and the culture was established.
View Article and Find Full Text PDFManagement of a stingray barb laceration and suspect envenomation in a dog.
Aust Vet J
May 2023
Pet Emergency, Queensland Veterinary Specialists, North Lakes, Australia.
This case report describes the successful management of a stingray laceration and suspected envenomation using a combination of opioid analgesia, heat compression, antimicrobial therapy, surgical debridement and closure. Stingray envenomation in the dog is a rare clinical presentation and is yet to be documented in the Australian veterinary literature. Envenomation can be markedly painful and may cause swelling and local tissue necrosis.
View Article and Find Full Text PDFThe seven day itch: A delayed histamine reaction to stingray injury.
Am J Emerg Med
April 2023
Department of Emergency Medicine, University of Washington, Seattle, WA, United States of America. Electronic address:
Article Synopsis
- Stingray injuries, such as puncture wounds and lacerations, are frequently seen in emergency rooms near warm coastal waters, with envenomations causing severe pain but manageable through warm water immersion.
- A case is reported of a patient experiencing a delayed histamine reaction a week after a stingray sting, which is believed to be the first documented instance in medical literature despite being discussed in online forums.
- The report also includes a review of existing literature on stingray envenomations.
Mapping of the venomous stingrays of the Potamotrygon genus in the Tietê River, São Paulo Sstate, Brazil.
Rev Soc Bras Med Trop
November 2022
Universidade Estadual Paulista, Faculdade de Medicina de Botucatu, Botucatu, SP, Brasil.
Article Synopsis
- Freshwater stingrays, part of the Potamotrygonidae family, have expanded in the Paraná River due to damming, posing a risk of envenomation if stepped on.
- A study was conducted in the lower Tietê River, tracking and mapping the catch of Potamotrygon stingrays by local fishermen.
- The population of stingrays is growing and may continue upstream, highlighting the need for community education to prevent injuries and avoid harming the species.
A technical trick for extracting a stingray spine from hand: a case report.
Acta Orthop Traumatol Turc
September 2022
Department of Orthopaedic Surgery, Dicle University, School of Medicine, Diyarbakır, Turkey.
Article Synopsis
- * These injuries can cause severe pain, tissue damage, secondary infections, and in rare cases, can be life-threatening if they impact vital organs.
- * The report discusses a novel technique for effectively extracting stingray spines after injuries, highlighting the need for proper surgical intervention following initial first aid.
The Natural History of Stingray Injuries.
Prehosp Disaster Med
June 2022
University of California, Irvine, Department of Emergency Medicine, Orange, California, USA.
Article Synopsis
- Stingray envenomation is a common marine injury, but there have been no prospective studies on the outcomes of these injuries prior to this research.
- The study aimed to observe and analyze human stingray injuries over four years, focusing on natural history, complications, and medical treatment among individuals who did not seek immediate medical care.
- Out of 393 participants, most injuries were to the feet, with a high rate of pain resolution within a month, showing that most victims recover without antibiotics, while a small percentage may experience ongoing pain.
Stingray Venom Proteins: Mechanisms of Action Revealed Using a Novel Network Pharmacology Approach.
Mar Drugs
December 2021
Department of Bioresources, Fraunhofer Institute for Molecular Biology and Applied Ecology, Ohlebergsweg 12, 35392 Giessen, Germany.
Article Synopsis
Man With Stingray Envenomation.
Ann Emerg Med
December 2021
Department of Emergency Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Two-Screen Virtual Board Game Didactic for Teaching Wilderness and Environmental Medicine Topics to Emergency Medicine Residents.
J Educ Teach Emerg Med
October 2021
University of California Irvine, Department of Emergency Medicine, Orange, CA.
Article Synopsis
- The game is designed for medical students, interns, and residents to engage with virtual learning during the COVID-19 pandemic through gamification using both computers and mobile phones.
- Students worked in teams to answer board-style questions via text messages, aiming to improve their preparedness for the Emergency Medicine Inservice Exam and Written Board Examination.
- Feedback from participants was overwhelmingly positive, with high ratings for session effectiveness, relevance, and engagement.
Regional Anesthesia for Symptomatic Treatment of Stingray Envenomation.
Wilderness Environ Med
December 2021
Naval Medical Center Portsmouth Department of Anesthesiology, Portsmouth, Virginia.
Article Synopsis
- Stingray envenomation often causes severe pain that can be difficult to treat, typically requiring hot water immersion and various pain management strategies.
- Traditional therapies may be insufficient for some patients, leading to consideration of alternative treatments such as peripheral nerve blockade.
- In a case study, a 36-year-old male with unmanageable pain from a stingray sting experienced rapid and complete relief after receiving an ultrasound-guided sciatic popliteal nerve block.
Comparison of Radiographic, Ultrasound, and Magnetic Resonance Imaging for the Detection of Retained Stingray Barb: A Cadaveric Study.
Wilderness Environ Med
September 2021
Department of Emergency Medicine, University of California San Diego, San Diego, California. Electronic address:
Article Synopsis
- Stingray injuries often require identifying and removing barbs to prevent infections, but the best imaging method for detection is unclear.
- A study compared the effectiveness of x-rays, ultrasounds, and MRIs in finding stingray barbs in human foot and ankle cadaver specimens.
- Results showed x-rays had the highest sensitivity (94%) for detecting barbs, while MRIs had the highest specificity (100%), indicating different strengths for each imaging technique.
Neutralization of the edema-forming and myotoxic activities of the venom of Potamotrygon motoro Müller and Henle, 1841 (Chondrichthyes - Potamotrygoninae) by antivenoms and circulating immunoglobulins.
Toxicon
October 2020
Laboratório de Imunoquímica, Departamento de Parasitologia, Instituto de Ciências Biológicas, Universidade Federal do Amazonas, Avenida Rodrigo Octávio Jordão Ramos, 6200, CEP 69077-000, Coroado II, Manaus, Amazonas, Brazil.
Article Synopsis
- * The study investigated whether antibodies against Potamotrygon motoro venom could neutralize its harmful effects using protocols on mice, including seroneutralization and vaccination.
- * Results showed that neither protocol fully neutralized the venom’s effects, but vaccination with stinger extract did prevent systemic muscle damage, and different immune responses were triggered depending on the method used.
[Sea bathing dangers: marine envenoming, trauma, and infections].
Rev Med Suisse
May 2020
Service de médecine tropicale et humanitaire, HUG, 1211 Genève 14.
Article Synopsis
- Sea bathing is popular among travelers for its health benefits, but the risks associated with it, particularly in tropical waters, are often overlooked.
- The review covers various hazards such as marine envenoming, trauma from marine organisms (like jellyfish and stingrays), and infections, which constitute a small percentage of travel medicine cases.
- It provides insights on eco-epidemiology, clinical handling of envenomings, preventative measures, and details on antidotes and first-aid treatments for marine-related incidents.
Stingray spear injury to the pediatric spinal cord: case report and review of the literature.
Childs Nerv Syst
August 2020
Servicio de Neurocirugía, Hospital Nacional de Niños, "Dr. Carlos Sáenz Herrera", San José, Costa Rica.
Article Synopsis
- - Stingray injuries are uncommon but can cause serious harm, especially if they puncture vital areas like the thorax or neck; this case discusses a 12-year-old boy who suffered a rare spinal injury from a stingray while wading in Costa Rica.
- - The boy presented with severe symptoms, including paralysis and loss of bowel control, and imaging showed a fracture in the C6 vertebra and edema in the epidural space, but no major anatomical damage was found.
- - After medical treatment and monitoring over three months, he showed signs of recovery in sensation and strength, highlighting the need for careful management of stingray-related injuries and their effects.