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Sea-urchin envenomation.

Ming-Ling Wu1, Shang-Lin Chou, Tzu-Yu Huang

  • 1Division of Clinical Toxicology, Department of Medicine, Taipei Veterans General Hospital, Taiwan.

Veterinary and Human Toxicology
|December 3, 2003
PubMed
Summary
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Sea-urchin stings can cause severe injuries and venomous wounds. This case highlights a rare instance of acute hepatitis following multiple sea-urchin punctures, emphasizing prompt treatment.

Area of Science:

  • Marine Biology
  • Toxicology
  • Dermatology

Background:

  • Sea-urchin stings are known to cause painful and venomous wounds.
  • Clinical data on pedicellarial stings is limited.
  • Marine animal injuries are increasing globally.

Purpose of the Study:

  • To report a case of severe local reaction and acute hepatitis following sea-urchin envenomation.
  • To highlight the unusual presentation of sea-urchin injury.
  • To emphasize the importance of prompt and aggressive management.

Main Methods:

  • Case report of a 47-year-old Taiwanese woman.
  • Patient stepped on a sea urchin while scuba diving.
  • Management included spine removal, betadine immersion, IV fluids, analgesics, antibiotics, and wound debridement.

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Main Results:

  • The patient experienced numerous puncture wounds, intense pain, faintness, fever, chills, nausea, and serous discharge.
  • Developed right foot cellulitis and suspected toxic hepatitis with elevated liver enzymes (AST, ALT).
  • Recovered gradually after 2 weeks of treatment.

Conclusions:

  • Sea-urchin stings can lead to severe local reactions and systemic complications like hepatitis.
  • Prompt and aggressive removal of sea-urchin spines may reduce injury severity.
  • This case underscores the need for increased awareness and timely medical intervention for marine animal injuries.