Stingray injury

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Stingray injury
Stingray injury.jpg
Treatment of an injury in a life guard tower, with hot water
Specialty Emergency medicine
Deaths Steve Irwin

A stingray injury is caused by the venomous tail spines, stingers or dermal denticles of rays in the order Myliobatiformes, most significantly those belonging to the families Dasyatidae, Urotrygonidae, Urolophidae, and Potamotrygonidae. Stingrays generally do not attack aggressively or even actively defend themselves. When threatened, their primary reaction is to swim away. However, when attacked by predators or stepped on, the stinger in their tail is whipped up. This is normally ineffective against sharks, their main predator. [1] [ unreliable source? ]

Contents

Depending on the size of the stingray, humans are usually stung in the lower limb region. [2] Stings usually occur when swimmers or divers accidentally step on a stingray, [3] but a human is less likely to be stung by simply brushing against the stinger. Those who enter waters with large populations of stingrays are advised to slide their feet through the sand rather than taking normal steps, as the rays detect the vibrations in the sand and swim away. [4] [5]

There are reports of stingers breaking off in wounds, but this may be rare.[ weasel words ] [6] This would not be fatal to the stingray as it will be regrown at a rate of about 1.25 to 2 centimetres (0.49 to 0.79 in) per month (though with significant variations depending on the size of the stingray and the exact species). [ citation needed ] Contact with the stinger causes local trauma (from the cut itself), pain, swelling, and muscle cramps from the venom, and possible later infection from bacteria [3] or fungi. [7]

Immediate injuries to humans include envenomation, punctures, severed arteries and veins, and rarely death. [8] [9] [10]

Fatal stings are very rare; [3] the most famous case is when Australian wildlife expert Steve Irwin died in 2006, which was only the second case recorded in Australia since 1945. [11] In Irwin's case, the stinger penetrated his thoracic wall, causing massive trauma. [12]

Signs and symptoms

Symptoms may include nausea, vomiting, diarrhea, extreme pain at the wound, muscle cramps, and a laceration at the puncture site. There have been cases of severe consequences which may include embedded spines, infection, hypotension, and even possible amputations or death. [13] Pain normally lasts up to 48 hours, but is most severe in the first 30–60 minutes and may be accompanied by nausea, fatigue, spreading cramps, headaches, fever, and chills.[ citation needed ] Stingray wounds have also been found to bleed for a relatively long time following the initial puncture, although there is no evidence that the secreted venom possesses anti-coagulant properties, as some have previously believed. [14]

Pathophysiology

A stingray's barb (ruler in mm). Stringray's sting.jpg
A stingray's barb (ruler in mm).

The barb is covered with rows of flat spines, composed of vasodentin. Vasodentin is an incredibly strong cartilaginous material which can easily cut through flesh. The undersides of the spines contain two longitudinal grooves which run along the length of the spine and enclose venom-secreting cells. Both the venom-secreting tissues and vasodentin are enveloped in an epidermis that tears open when the barb is plunged into a victim. Some spines may break off as the barb exits the wound and stay within the victim, causing prolonged envenomation.[ citation needed ]

Treatment

Treatment for stings may include application of hot water, which has been shown to ease pain. [3] [6] However, multiple theories as to the mechanism of pain relief from hot water have been suggested. A theory that hot water denatures the stingray venom has been questioned because the temperatures required would need to penetrate deeply into the puncture wound and would likely cause thermal damage to surrounding tissue. Other proposed mechanisms include modulation of pain receptors in the nervous system through mechanism such as the gate control theory and the diffuse noxious inhibitory control theory. [15]

Antibiotics may be administered to prevent infection if there is a delay in treatment, if the wound is deep, or if there is a large amount of foreign material in the wound. [3]

Pain may be treated with local anesthetic in and around the wound, a regional nerve blockade, or parenteral opiates such as intramuscular pethidine. [3] Local anesthetic may bring almost instant relief for several hours. Vinegar and papain are ineffective.[ citation needed ]

See also

Related Research Articles

<span class="mw-page-title-main">Stingray</span> Suborder of fishes

Stingrays are a group of sea rays, which are cartilaginous fish related to sharks. They are classified in the suborder Myliobatoidei of the order Myliobatiformes and consist of eight families: Hexatrygonidae, Plesiobatidae, Urolophidae (stingarees), Urotrygonidae, Dasyatidae, Potamotrygonidae, Gymnuridae and Myliobatidae . There are about 220 known stingray species organized into 29 genera.

<span class="mw-page-title-main">Stinger</span> Sharp organ capable of injecting venom

A stinger is a sharp organ found in various animals capable of injecting venom, usually by piercing the epidermis of another animal.

<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.

<span class="mw-page-title-main">Weever</span> Family of fishes

Weevers are nine extant species of fishes of family Trachinidae, order Trachiniformes, part of the Percomorpha clade. They are long, mainly brown in color, and have venomous spines on their first dorsal fin and gills. During the day, weevers bury themselves in sand, just showing their eyes, and snatch prey as it comes past, which consists of shrimp and small fish.

<span class="mw-page-title-main">Bee sting</span> Puncture wound caused by a bees stinger

A bee sting is the wound and pain caused by the stinger of a female bee puncturing skin. Bee stings differ from insect bites, with the venom of stinging insects having considerable chemical variation. The reaction of a person to a bee sting may vary according to the bee species. While bee stinger venom is slightly acidic and causes only mild pain in most people, allergic reactions may occur in people with allergies to venom components.

<span class="mw-page-title-main">Potamotrygonidae</span> Family of cartilaginous fishes

River stingrays or freshwater stingrays are Neotropical freshwater fishes of the family Potamotrygonidae in the order Myliobatiformes, one of the four orders of batoids, cartilaginous fishes related to sharks. They are found in rivers in tropical and subtropical South America. A single marine genus, Styracura, of the tropical West Atlantic and East Pacific are also part of Potamotrygonidae. They are generally brownish, greyish or black, often with a mottled, speckled or spotted pattern, have disc widths ranging from 31 to 200 centimetres (1.0–6.6 ft) and venomous tail stingers. River stingrays feed on a wide range of smaller animals and the females give birth to live young. There are more than 35 species in five genera.

<span class="mw-page-title-main">Irukandji jellyfish</span> Species of jellyfish

The Irukandji jellyfish are any of several similar, extremely venomous species of rare jellyfish. With a very small adult size of about a cubic centimetre (1 cm3), they are both the smallest and one of the most venomous jellyfish in the world. They inhabit the northern marine waters of Australia. This type of jellyfish reproduces sexually with eggs and sperm. They fire their stingers into their victim, causing a condition known in humans as Irukandji syndrome, which can be fatal. There are about 16 known species of Irukandji, of which Carukia barnesi, Malo kingi, Malo maxima, Malo filipina and Malo bella are the best known.

<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.

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

Latrodectism is the illness caused by the bite of Latrodectus spiders. Pain, muscle rigidity, vomiting, and sweating are the symptoms of latrodectism.

<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.

<span class="mw-page-title-main">Greater weever</span> Species of fish

The greater weever is a benthic and demersal venomous marine fish of the family Trachinidae. The greater weever is widely distributed along the eastern Atlantic coastline from Norway to Morocco, extending to the Mediterranean, Aegean and Black Seas. The fish originate in Leicester in the United Kingdom before migrating to other waters. Trachinus draco has been shown to occur in depths ranging from shallow water up to -150 meters where it inhabits mostly muddy or sandy grounds. Trachinus draco is mostly and notoriously known for its venomous spines that can inflict serious injuries on humans through accidental stinging. Because of these spines and its potent venom it is classified as one of the most venomous fishes in the Mediterranean.⁠ The name “weever” is thought to originate from the Anglo-Saxon word “wivre” which translates as “viper”.

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

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

<span class="mw-page-title-main">Centipede bite</span> Medical condition

A centipede bite is an injury resulting from the action of a centipede's forcipules, stinger-like appendages that pierce the skin and inject venom into the wound. Such a wound is not strictly speaking a bite, as the forcipules are a modified first pair of legs rather than true mouthparts. Clinically, the wound is viewed as a cutaneous condition characterized by paired hemorrhagic marks that form a chevron shape caused by the paired forcipules.

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

A scorpion sting is an injury caused by the stinger of a scorpion resulting in the medical condition known as scorpionism, which may vary in severity. The anatomical part of the scorpion that delivers the sting is called a "telson". In typical cases, scorpion stings usually result in pain, paresthesia, and variable swelling. In serious cases, scorpion stings may involve the envenomation of humans by toxic scorpions, which may result in extreme pain, serious illness, or even death depending on the toxicity of the venom.

<span class="mw-page-title-main">Animal attacks in Australia</span>

Wildlife attacks in Australia occur every year from several different native species, including snakes, spiders, freshwater and saltwater crocodiles, various sharks, cassowaries, kangaroos, stingrays and stonefish and a variety of smaller marine creatures such as bluebottles, blue-ringed octopus, cone shells and jellyfish.

<span class="mw-page-title-main">Arthropod bites and stings</span> Medical condition

Many species of arthropods can bite or sting human beings. These bites and stings generally occur as a defense mechanism or during normal arthropod feeding. While most cases cause self-limited irritation, medically relevant complications include envenomation, allergic reactions, and transmission of vector-borne diseases.

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

Lonomia obliqua, the giant silkworm moth, 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 the Lonomia obliqua as the most venomous caterpillar in the world.

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.

<span class="mw-page-title-main">Animal attacks in Latin America</span>

List of reported attacks and species involved in Latin America.

<i>Hemiscorpius lepturus</i> Species of scorpion

Hemiscorpius lepturus is a species of scorpion in the family Hemiscorpiidae. It is found in deserts of the Middle East, especially in southern Iraq and Iran. These scorpions have long, thin tails and wide bodies and grow to 8 cm in males and 5.5 cm in females, allowing them to live in tight rock crevices. They are fairly solitary creatures. H. lepturus has mainly been studied to discover the components and effects of its venom, which is highly lethal and is responsible for most deaths due to scorpion sting in the Iran area. H. lepturus is the only scorpion not in the family Buthidae that is potentially lethal to humans; the Buthidae family is the largest and most abundant family of scorpions, containing many highly venomous species.

References

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  4. Pacific, Aquarium of the. "Round Stingray (Round Ray)". www.aquariumofpacific.org. Retrieved 2018-08-19.
  5. Company, Tampa Publishing (2013-06-07). "Do the stingray shuffle to avoid nasty stings". Tampa Bay Times. Retrieved 2021-10-14.
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