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[Partial finger amputation after weever sting and second-degree burn]
Michael Josiassen1, Søren Partoft, Pernille Leicht
1michaeljosiassen@hotmail.com.
Ugeskrift for Laeger
|July 11, 2017
Summary
A sting from the greater weever fish (Trachinus draco) can cause severe pain and tissue damage. Improper heat treatment of the venom led to a burn and subsequent finger amputation in one case.
Area of Science:
- Marine Biology
- Toxicology
- Dermatology
Background:
- The greater weever (Trachinus draco) is Denmark's only venomous fish.
- Weever venom can induce pain, nausea, dizziness, and tissue necrosis.
- Venom is heat-labile, necessitating warm water treatment.
Observation:
- A patient was stung on the finger by a greater weever.
- The patient received warm water treatment for the sting.
- The treatment resulted in a second-degree burn.
Findings:
- The burn may have potentiated the venom's effects.
- Severe envenomation led to partial finger amputation.
- This case highlights potential complications of standard weever sting treatment.
Implications:
- Re-evaluation of standard warm water treatment protocols for weever stings is needed.
- Further research into optimal treatment strategies for Trachinus draco envenomation is warranted.
- Clinicians should be aware of potential adverse outcomes from heat application in weever sting cases.
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