RT Book, Section
A1 Zafren, Ken
A1 Thurman, R. Jason
A1 Jones, Ian D.
A2 Knoop, Kevin J.
A2 Stack, Lawrence B.
A2 Storrow, Alan B.
A2 Thurman, R. Jason
SR Print(0)
ID 1181051114
T1 Scorpionfish Sting
T2 The Atlas of Emergency Medicine, 5e
YR 2021
FD 2021
PB McGraw-Hill
PP New York, NY
SN 9781260134940
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1181051114
RD 2024/04/18
AB Scorpionfish  are  colorful  venomous  marine  animals  found  primarily  in  tropical  waters.  Their  exotic  beautiful  appearance  has  made  them  increasingly  popular  among  marine  aquarists  in  the  United  States.  Many  envenomations  have  resulted  from  mishandling.  They  are  well  camouflaged  in  the  wild.  Stings  are  usually  caused  by  accidentally  stepping  on  them.  Scorpionfish  are  grouped  into  the  genera  Pterois  (lionfish),  Scorpaena  (scorpionfish  proper),  and  Synanceja  (stonefish),  in  order  of  increasing  severity  of  envenomation.  All  have  multiple  spines  associated  with  venom  glands.  Envenomation  results  from  skin  puncture  followed  by  venom  release.  Immediately  following  a  sting,  the  victim  experiences  intense  pain  that  lasts  for  hours  if  untreated.  The  envenomation  site  may  become  warm,  erythematous,  and  edematous,  and  vesicles  may  arise.  Lionfish  stings  are  painful  but  relatively  mild,  while  systemic  effects  are  more  common  with  stonefish  stings  and  may  produce  a  constellation  of  cardiovascular,  pulmonary,  neurologic,  and  gastrointestinal  sequelae.  Death  has  been  reported  from  stonefish  stings.