Lionfish envenomation

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 and envenomations

Evaluation

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

Management

  • Clean wound, update tetanus, remove retained tissue
  • One fifth of wounds develop local infection, but prophylactic antibiotics remain controversial
  • 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

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