Fish sting

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Fish sting

A fish sting is an injury which may include envenomation and mechanical trauma. [1] There are a number of species of venomous fish including the stonefish. [1] [2] [3] [4]

Contents

Stonefish sting lethality in man has been scarcely documented since the middle of the 20th century. We report three clinical cases, including one fatality, emphasizing the cardiovascular toxicity of the Synanceia verrucosa venom, and its potentially lethal effects. All clinical data have been recently collected in New Caledonia and French Polynesia. Due to the medical significance of the venom, there is a notable lack of research on stonefish ichthyocrinotoxins.

Future research should investigate the toxins role in predator defence, parasite prevention, and mitigating epibiosis.

Further inquiry into stonefish toxins would expand ecological insights and may reveal therapeutic and industrial potential

Antivenom is available for stonefish stings. [5]

Weeverfish sting

Weeverfish are colorful marine animals which grow up to 1.5 feet in length. They are found in the North Atlantic Ocean and the Mediterranean Sea, and are mostly buried in sand or mud. They can cause serious wounds due to the presence of neurotoxin venom, which can lead to paralysis, seizures or even death. Immediate medical attention is recommended in case of a weeverfish sting. [6]

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<span class="mw-page-title-main">Venom</span> Toxin secreted by an animal

Venom or zootoxin is a type of toxin produced by an animal that is actively delivered through a wound by means of a bite, sting, or similar action. The toxin is delivered through a specially evolved venom apparatus, such as fangs or a stinger, in a process called envenomation. Venom is often distinguished from poison, which is a toxin that is passively delivered by being ingested, inhaled, or absorbed through the skin, and toxungen, which is actively transferred to the external surface of another animal via a physical delivery mechanism.

<span class="mw-page-title-main">Australian funnel-web spider</span> Family of mygalomorph spiders

Atracidae is a family of mygalomorph spiders, commonly known as Australian funnel-web spiders or atracids. It has been included as a subfamily of the Hexathelidae, but is now recognised as a separate family. All members of the family are native to Australia. Atracidae consists of three genera: Atrax, Hadronyche, and Illawarra, comprising 35 species. Some members of the family produce venom that is dangerous to humans, and bites by spiders of six of the species have caused severe injuries to victims. The bites of the Sydney funnel-web spider and northern tree-dwelling funnel-web spider are potentially deadly, but no fatalities have occurred since the introduction of modern first-aid techniques and antivenom.

<span class="mw-page-title-main">Antivenom</span> Medical treatment for venomous bites and stings

Antivenom, also known as antivenin, venom antiserum, and antivenom immunoglobulin, is a specific treatment for envenomation. It is composed of antibodies and used to treat certain venomous bites and stings. Antivenoms are recommended only if there is significant toxicity or a high risk of toxicity. The specific antivenom needed depends on the species involved. It is given by injection.

<span class="mw-page-title-main">Snakebite</span> Injury caused by bite from snakes

A snakebite is an injury caused by the bite of a snake, especially a venomous snake. A common sign of a bite from a venomous snake is the presence of two puncture wounds from the animal's fangs. Sometimes venom injection from the bite may occur. This may result in redness, swelling, and severe pain at the area, which may take up to an hour to appear. Vomiting, blurred vision, tingling of the limbs, and sweating may result. Most bites are on the hands, arms, or legs. Fear following a bite is common with symptoms of a racing heart and feeling faint. The venom may cause bleeding, kidney failure, a severe allergic reaction, tissue death around the bite, or breathing problems. Bites may result in the loss of a limb or other chronic problems or even death.

<i>Synanceia verrucosa</i> Species of fish

Synanceia verrucosa, the reef stonefish or simply stonefish, is a species of venomous, marine ray-finned fish, belonging to the subfamily Synanceiinae which is classified as being within the family Scorpaenidae, the scorpionfishes and their relatives. It is the most widespread species of stonefish, mostly found in shallow waters of the Red Sea and the Indo-Pacific. It is the deadliest fish in the sea, with highly effective venom which can be lethal to humans.

<span class="mw-page-title-main">Spider bite</span> Bite caused by a spider

A spider bite, also known as arachnidism, is an injury resulting from the bite of a spider. The effects of most bites are not serious. Most bites result in mild symptoms around the area of the bite. Rarely they may produce a necrotic skin wound or severe pain.

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<span class="mw-page-title-main">Venomous fish</span> Fish that have the ability to produce toxins

Venomous fish are species of fish which produce strong mixtures of toxins harmful to humans which they deliberately deliver by means of a bite, sting, or stab, resulting in an envenomation. As a contrast, poisonous fish also produce a strong toxin, but they do not bite, sting, or stab to deliver the toxin, instead being poisonous to eat because the human digestive system does not destroy the toxin they contain in their bodies. Venomous fish do not necessarily cause poisoning if they are eaten, as the digestive system often destroys the venom.

<i>Synanceia nana</i> Species of fish

Synanceia nana, the Red Sea stonefish or dwarf scorpionfish, is a species of venomous, marine ray-finned fish, a stonefish belonging to the subfamily Synanceiinae which is classified as being within the family Scorpaenidae, the scorpionfishes and their relatives. It is found in the northwestern Indian Ocean.

<i>Synanceia</i> Genus of venomous fishes

Synanceia is a genus of ray-finned fish belonging to the subfamily Synanceiinae, the stonefish, which is classified within the family Scorpaenidae, the scorpionfish and relatives. Stonefish are the most venomous fish known; stings can be fatal to humans. They are found in the coastal regions of the Indo-Pacific.

<i>Synanceia horrida</i> Species of fish

Synanceia horrida, the estuarine stonefish, hollow-cheek stonefish, horrid stonefish, rough stonefish or true stonefish, is a species of venomous, marine ray-finned fish, a stonefish belonging to the subfamily Synanceiinae which is classified as being within the family Scorpaenidae, the scorpionfishes and their relatives. It is a benthic fish which is found in the Indo-Pacific region. This species is considered to be one of the most dangerous venomous fish in the world. It is a popular exhibit in public aquaria and is found in the private aquarium trade.

<span class="mw-page-title-main">Scorpion sting</span> Medical condition

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<span class="mw-page-title-main">Stingray injury</span> Injury from a stingrays barbed tail

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Birtoxin is a neurotoxin from the venom of the South African Spitting scorpion. By changing sodium channel activation, the toxin promotes spontaneous and repetitive firing much like pyrethroid insecticides do

<i>Tityus serrulatus</i> Species of scorpion

Tityus serrulatus, the Brazilian yellow scorpion, is a species of scorpion of the family Buthidae. It is native to Brazil, and its venom is extremely toxic. It is the most dangerous scorpion in South America and is responsible for the most fatal cases.

<i>Lonomia obliqua</i> Species of moth

Lonomia obliqua is a species of saturniid moth from South America. It is famous for its larval form, rather than the adult moth, primarily because of the caterpillar's defense mechanism, urticating bristles that inject a potentially deadly venom. The caterpillar has been responsible for many human deaths, especially in southern Brazil. Its venom has been the subject of numerous medical studies. The species was first described by Francis Walker in 1855. Guinness World Records classified Lonomia obliqua as the most venomous caterpillar in the world.

<span class="mw-page-title-main">Varespladib</span> Chemical compound

Varespladib is an inhibitor of the IIa, V, and X isoforms of secretory phospholipase A2 (sPLA2). The molecule acts as an anti-inflammatory agent by disrupting the first step of the arachidonic acid pathway of inflammation. From 2006 to 2012, varespladib was under active investigation by Anthera Pharmaceuticals as a potential therapy for several inflammatory diseases, including acute coronary syndrome and acute chest syndrome. The trial was halted in March 2012 due to inadequate efficacy. The selective sPLA2 inhibitor varespladib (IC50 value 0.009 μM in chromogenic assay, mole fraction 7.3X10-6) was studied in the VISTA-16 randomized clinical trial (clinicaltrials.gov Identifier: NCT01130246) and the results were published in 2014. The sPLA2 inhibition by varespladib in this setting seemed to be potentially harmful, and thus not a useful strategy for reducing adverse cardiovascular outcomes from acute coronary syndrome. Since 2016, scientific research has focused on the use of Varespladib as an inhibitor of snake venom toxins using various types of in vitro and in vivo models. Varespladib showed a significant inhibitory effect to snake venom PLA2 which makes it a potential first-line drug candidate in snakebite envenomation therapy. In 2019, the U.S. Food and Drug Administration (FDA) granted varespladib orphan drug status for its potential to treat snakebite.

The pathophysiology of a spider bite is due to the effect of its venom. A spider envenomation occurs whenever a spider injects venom into the skin. Not all spider bites inject venom – a dry bite, and the amount of venom injected can vary based on the type of spider and the circumstances of the encounter. The mechanical injury from a spider bite is not a serious concern for humans. Some spider bites do leave a large enough wound that infection may be a concern. However, it is generally the toxicity of spider venom that poses the most risk to human beings; several spiders are known to have venom that can cause injury to humans in the amounts that a spider will typically inject when biting.

Stonustoxin (SNTX) is an extremely potent cytolytic toxin of the perforin-like superfamily. It is mainly found in stonefish (Synanceia). The name Stonustoxin is an abbreviation of STOnefish National University of Singapore + toxin.

Verrucotoxin (VTX) is a lethal venom produced by the dorsal fins of Synanceia verrucosa. This species of reef stonefish is connected to the family Synanceiidae. The venom of this species of stonefish is a tetrameric glycoprotein with cardiovascular and cytolytic effects.

References

  1. 1 2 Cameron, Peter; Jelinek, George; Everitt, Ian (2006-01-01). Textbook of Paediatric Emergency Medicine. Elsevier Health Sciences. ISBN   978-0443073489.
  2. Maillaud, C.; Hoang-Oppermann, T.; Hoang-Oppermann, V.; Rigot, H.; Girardot, S.; Nour, M. (September 2020). "Is stonefish Synanceia verrucosa envenomation potentially lethal?". Toxicon. 184: 78–82. doi:10.1016/j.toxicon.2020.05.019.
  3. Lennox-Bulow, Danica; Smout, Michael; Loukas, Alex; Seymour, Jamie (December 2023). "Stonefish (Synanceia spp.) Ichthyocrinotoxins: An ecological review and prospectus for future research and biodiscovery". Toxicon. 236: 107329. doi:10.1016/j.toxicon.2023.107329.
  4. Khalil, Ahmad M.; Wahsha, Mohammad A.; Abu Khadra, Khalid M.; Khalaf, Maroof A.; Al-Najjar, Tariq H. (February 2018). "Biochemical and histopathological effects of the stonefish (Synanceia verrucosa) venom in rats". Toxicon. 142: 45–51. doi:10.1016/j.toxicon.2017.12.052.
  5. Tiziani, Adriana P. (2013). Havard's Nursing Guide to Drugs (9 ed.). Elsevier Health Sciences. p. 1054. ISBN   9780729581622.
  6. "Wilderness: Weeverfish Sting". WebMD.