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Venomous fish stings in tropical northern Australia

Isbister, GK (2001). Venomous fish stings in tropical northern Australia. American Journal of Emergency Medicine,19(7):561-565.

Document type: Journal Article
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Title Venomous fish stings in tropical northern Australia
Author Isbister, GK
Journal Name American Journal of Emergency Medicine
Publication Date 2001
Volume Number 19
Issue Number 7
ISSN 1532-8171   (check CDU catalogue open catalogue search in new window)
Start Page 561
End Page 565
Total Pages 5
Place of Publication USA
Publisher W.B. Saunders Co.
Field of Research 320000 Medical and Health Sciences
Abstract Venomous fish stings are a common environment hazard worldwide. This study investigated the clinical effects and treatment of venomous fish stings. A prospective observational case series of patients presenting with venomous fish stings was conducted in tropical northern Australia. Twenty-two fish stings were included; subjects were 3 females and 19 males; mean age 35 (range 10-63). 9 by stingrays, 8 by catfish, 1 by a stonefish, 1 by a silver scat (Selenotocota multifasciata), and 3 by unknown fish. All patients had severe pain, but less commonly erythema, 3 cases (14%); swelling, 7 cases (33%); bleeding, 5 cases (24%); numbness, 4 cases (19%); and radiating pain, 3 cases (14%). Mild systemic effects occurred in one stingray injury. Treatment included hot water immersion, which was completely effective in 73% of cases, analgesia, wound exploration and prophylactic antibiotics. Stingray injuries should be explored and debrided with large wounds, while other stings only need appropriate cleaning. The routine use of antibiotics is not recommended.
Keywords fish
northern Australia
stings
tropical
Venomous
DOI http://dx.doi.org/10.1053/ajem.2001.28325   (check subscription with CDU E-Gateway service for CDU Staff and Students  check subscription with CDU E-Gateway in new window)
Additional Notes 3708 (Journal) DA - 20011107IS - 0735-6757 (Print)LA - engPT - Journal ArticleSB - IM
 
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Created: Mon, 17 Dec 2007, 09:02:11 CST