Stingray injury

Background

  • Stinger punctures skin to introduce heat-labile venom
  • Generally causes local symptoms without systemic effects
  • Often occurs when swimmers accidentally step on stingray in shallow water. Can be avoided by shuffling feet along bottom.
Common stingray (Dasyatis pastinaca)
A stingray's stinger (ruler in cm)

Clinical Features

Differential Diagnosis

Marine toxins and envenomations

Evaluation

  • Clinical diagnosis
  • Consider x-ray to evaluate for retained foreign body (stinger)

Management

Disposition

  • Discharge

See Also

External Links

References

  1. Atkinson PRT. Is hot water immersion an effective treatment for marine envenomation? Emergency Medicine Journal. 2006;23(7):503–508. doi:10.1136/emj.2005.028456.