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[Stingray injury: A case in French Polynesia]
C Luherne1, T Luth2, E Oehler1
1Service de médecine interne et polyvalente, centre hospitalier de Polynésie française, 98713 Pirae, Tahiti, Polynésie française.
Annales De Dermatologie Et De Venereologie
|December 10, 2019
Summary
Stingray injuries can cause severe wounds and venom poisoning. Prompt treatment with hot water immersion, and potentially surgery, is crucial for favorable outcomes in stingray envenomation.
Area of Science:
- Marine toxicology
- Dermatology
- Emergency medicine
Background:
- Stingray injuries result from stepping on these marine animals, causing puncture wounds and venom-related lesions.
- The venom can lead to significant tissue damage, ischemia, and intense pain.
Observation:
- A case report details a 76-year-old woman in French Polynesia stung on the ankle by a stingray.
- The patient experienced a hypertensive episode with encephalopathy and a hemorrhagic wound from a retained barb fragment.
- Necrosis necessitated surgical debridement, leading to a positive outcome.
Findings:
- Stingray injuries are uncommon and often underestimated by medical professionals.
- The severity stems from both physical barb trauma and the cytotoxic effects of stingray venom.
- Enzymatic tissue destruction, ischemia, and severe pain are characteristic manifestations.
Implications:
- Immediate management involves immersing the wound in hot water due to the venom's heat sensitivity.
- Antibiotics and surgical intervention may be required based on wound severity and infection risk.
- Educating healthcare providers on stingray envenomation is essential for timely and effective treatment.
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