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Stingray Envenomation: Differential Diagnoses & Workup

Author: John L Meade, MD, CEO, Statdoc Consulting, Inc; Medical Director and Member, Orange Beach Police Department SRT (SWAT); Medical Director, Multiple EMS Agencies
Contributor Information and Disclosures

Updated: Nov 19, 2008

Differential Diagnoses

Bites, Animal
Echinoderm Envenomations
Lionfish and Stonefish
Snake Envenomations, Sea

Workup

Laboratory Studies

  • No laboratory studies are indicated in the usual case of stingray injury.

Imaging Studies

  • Plain radiography should generally be used to obtain images of the injured area in at least 2 planes. Plain radiography is useful to rule out the presence of any foreign bodies, such as retained components of the barb mechanism, as well as to differentiate injuries caused by some other object (eg, sharp object stepped on in the water, causing a retained foreign body).

More on Stingray Envenomation

Overview: Stingray Envenomation
Differential Diagnoses & Workup: Stingray Envenomation
Treatment & Medication: Stingray Envenomation
Follow-up: Stingray Envenomation
Multimedia: Stingray Envenomation
References

References

  1. Campbell J, Grenon M, You CK. Pseudoaneurysm of the superficial femoral artery resulting from stingray envenomation. Ann Vasc Surg. Mar 2003;17(2):217-20. [Medline].

  2. de Haro L, Pommier P. Envenomation: a real risk of keeping exotic house pets. Vet Hum Toxicol. Aug 2003;45(4):214-6. [Medline].

  3. Ellenhorn MJ. Envenomations: bites and stings. In: Ellenhorn's Medical Toxicology. Lippincott Williams & Wilkins; 1997:1737-98.

  4. Fenner PJ, Williamson JA, Skinner RA. Fatal and non-fatal stingray envenomation. Med J Aust. Dec 4-18 1989;151(11-12):621-5. [Medline].

  5. Guenin DG, Auerbach PS. Trauma and envenomations from marine fauna. In: Tintinalli JE, et al, eds. Emergency Medicine: A Comprehensive Study Guide. McGraw-Hill; 1996:868-73.

  6. Otten EJ. Venomous animal injuries. In: Rosen P, et al, eds. Emergency Medicine: Concepts and Clinical Practice. Mosby-Year Book; 1998:924-40.

  7. Perkins RA, Morgan SS. Poisoning, envenomation, and trauma from marine creatures. Am Fam Physician. Feb 15 2004;69(4):885-90. [Medline].

Further Reading

Keywords

stingray envenomation, stingray wound, stingray barb, marine, envenomations, stingrays, sting rays, elasmobranch, Dasyatidae, Potamotrygonidae, stingray, sting ray, fish injuries, beach injuries, stingray spine

Contributor Information and Disclosures

Author

John L Meade, MD, CEO, Statdoc Consulting, Inc; Medical Director and Member, Orange Beach Police Department SRT (SWAT); Medical Director, Multiple EMS Agencies
John L Meade, MD, CEO is a member of the following medical societies: American College of Emergency Physicians and Medical Association of the State of Alabama
Disclosure: Nothing to disclose.

Medical Editor

Richard S Krause, MD, Clinical Assistant Professor, Residency Program Director, Department of Emergency Medicine, State University of New York at Buffalo School of Medicine
Richard S Krause, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Emergency Medicine, American College of Emergency Physicians, and Society for Academic Emergency Medicine
Disclosure: Nothing to disclose.

Pharmacy Editor

John T VanDeVoort, PharmD, ABAT, Director of Pharmacy, Sacred Heart Hospital
John T VanDeVoort, PharmD, ABAT is a member of the following medical societies: American Academy of Clinical Toxicology and American Society of Health-System Pharmacists
Disclosure: Nothing to disclose.

Managing Editor

Richard H Sinert, DO, Associate Professor of Emergency Medicine, Clinical Assistant Professor of Medicine, Research Director, State University of New York College of Medicine; Consulting Staff, Department of Emergency Medicine, Kings County Hospital Center
Richard H Sinert, DO is a member of the following medical societies: American College of Physicians and Society for Academic Emergency Medicine
Disclosure: Nothing to disclose.

CME Editor

John D Halamka, MD, MS, Associate Professor of Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center; Chief Information Officer, CareGroup Healthcare System and Harvard Medical School; Attending Physician, Division of Emergency Medicine, Beth Israel Deaconess Medical Center
John D Halamka, MD, MS is a member of the following medical societies: American College of Emergency Physicians, American Medical Informatics Association, Phi Beta Kappa, and Society for Academic Emergency Medicine
Disclosure: Nothing to disclose.

Chief Editor

Scott H Plantz, MD, FAAEM, Associate Clinical Professor of Emergency Medicine, Rosalind Franklin University of Medicine and Science, Chicago Medical School; Medical Director, WeCare Med, Inc
Scott H Plantz, MD, FAAEM is a member of the following medical societies: American Academy of Emergency Medicine
Disclosure: Nothing to disclose.

 
 
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