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Hughey SB, Kotler JA, Ozaki Y, Itani Y, Fukuzawa F, Yanagimoto T, Takamatsu K, Koito S, Suzuki H, Nishihira Y, Hughey AC, Nagata T. Marine Envenomation in Okinawa: Overview and Treatment Concept. Wilderness Environ Med 2024; 35:57-66. [PMID: 38379485 DOI: 10.1177/10806032231220401] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/22/2024]
Abstract
Okinawa prefecture is a popular tourist destination due to its beaches and reefs. The reefs host a large variety of animals, including a number of venomous species. Because of the popularity of the reefs and marine activities, people are frequently in close contact with dangerous venomous species and, thus, are exposed to potential envenomation. Commonly encountered venomous animals throughout Okinawa include the invertebrate cone snail, sea urchin, crown-of-thorns starfish, blue-ringed octopus, box jellyfish, and fire coral. The vertebrates include the stonefish, lionfish, sea snake, and moray eel. Treatment for marine envenomation can involve first aid, hot water immersion, antivenom, supportive care, regional anesthesia, and pharmaceutical administration. Information on venomous animals, their toxins, and treatment should be well understood by prehospital care providers and physicians practicing in the prefecture.
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Affiliation(s)
- Scott B Hughey
- Naval Hospital Okinawa, Okinawa, Japan
- Naval Biotechnology Group, Naval Medical Center Portsmouth, Portsmouth, VA
| | - Joshua A Kotler
- Naval Biotechnology Group, Naval Medical Center Portsmouth, Portsmouth, VA
- III Marine Expeditionary Force, Okinawa, Japan
| | | | | | | | | | | | - Shu Koito
- Naval Hospital Okinawa, Okinawa, Japan
| | | | | | | | - Takashi Nagata
- Department of Emergency Medicine, Japan Self-Defense Force Central Hospital, Tokyo, Japan
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Schnegg JR, Först J, van Schoonhoven J, Prommersberger KJ, Mühldorfer-Fodor M. [Protracted Course with Finger Amputation Following Stonefish Envenomation]. HANDCHIR MIKROCHIR P 2023; 55:364-367. [PMID: 36948208 DOI: 10.1055/a-2010-7353] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/24/2023] Open
Abstract
FallberichtEine 53-jährige Frau stellte sich 2,5 Wochen, nachdem sie sich auf Mauritius
eine Steinfischstichverletzung am rechten Kleinfinger zugezogen hatte, in unserer
Notfallambulanz vor. Sie hatte im Urlaub beim Schwimmen am Meeresufer versehentlich
auf einen im Sand vergrabenen Steinfisch gegriffen (Abb. 1). Sofort war es neben massiven
Schmerzen am gesamten Arm zu einer Rötung am Kleinfinger und einer
Schwellung der Hand gekommen. Nach notfallmäßigem Transport in das
nächste Krankenhaus wurde der Patientin dort aufgrund einer starken
systemischen Reaktion ein Antidot im Rahmen eines kurzzeitigen intensivmedizinischen
Aufenthaltes verabreicht. Bei Blasenbildung wurde eine oberflächliche
Wundrevision und eine Kompartmentspaltung palmar an der rechten Hand am Folgetag
durchgeführt. Die Narben ließen allerdings auf eine nur minimale
Eröffnung der Stichwunde und der Intermetakarpalräume
schließen. Eine Antibiotikatherapie erfolgte während des
4-tägigen Krankenhausaufenthaltes mittels Ampicillin/Sulbactam
intravenös, welche bei Entlassung oralisiert und bis zur Vorstellung in
unserer Klinik fortgesetzt wurde.
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Affiliation(s)
| | - Jörg Först
- Klinik für Handchirurgie, Rhön Klinikum Campus Bad Neustadt, Bad Neustadt, Germany
| | - Jörg van Schoonhoven
- Klinik für Handchirurgie, Rhön Klinikum Campus Bad Neustadt, Bad Neustadt, Germany
| | - Karl-Josef Prommersberger
- Klinik für Handchirurgie, Rhön Klinikum Campus Bad Neustadt, Bad Neustadt, Germany
- Elektive Handchirurgie, St. Josef Krankenhaus, Schweinfurt, Germany
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Saggiomo SL, Firth C, Wilson DT, Seymour J, Miles JJ, Wong Y. The Geographic Distribution, Venom Components, Pathology and Treatments of Stonefish ( Synanceia spp.) Venom. Mar Drugs 2021; 19:md19060302. [PMID: 34073964 PMCID: PMC8225006 DOI: 10.3390/md19060302] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2021] [Revised: 05/14/2021] [Accepted: 05/18/2021] [Indexed: 12/05/2022] Open
Abstract
Stonefish are regarded as one of the most venomous fish in the world. Research on stonefish venom has chiefly focused on the in vitro and in vivo neurological, cardiovascular, cytotoxic and nociceptive effects of the venom. The last literature review on stonefish venom was published over a decade ago, and much has changed in the field since. In this review, we have generated a global map of the current distribution of all stonefish (Synanceia) species, presented a table of clinical case reports and provided up-to-date information about the development of polyspecific stonefish antivenom. We have also presented an overview of recent advancements in the biomolecular composition of stonefish venom, including the analysis of transcriptomic and proteomic data from Synanceia horrida venom gland. Moreover, this review highlights the need for further research on the composition and properties of stonefish venom, which may reveal novel molecules for drug discovery, development or other novel physiological uses.
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Affiliation(s)
- Silvia L. Saggiomo
- Australian Institute of Tropical Health and Medicine (AITHM), James Cook University, Cairns 4878, Australia; (C.F.); (D.T.W.); (J.S.); (J.J.M.); (Y.W.)
- Centre for Molecular Therapeutics, James Cook University, Cairns 4878, Australia
- Correspondence:
| | - Cadhla Firth
- Australian Institute of Tropical Health and Medicine (AITHM), James Cook University, Cairns 4878, Australia; (C.F.); (D.T.W.); (J.S.); (J.J.M.); (Y.W.)
- Centre for Molecular Therapeutics, James Cook University, Cairns 4878, Australia
| | - David T. Wilson
- Australian Institute of Tropical Health and Medicine (AITHM), James Cook University, Cairns 4878, Australia; (C.F.); (D.T.W.); (J.S.); (J.J.M.); (Y.W.)
- Centre for Molecular Therapeutics, James Cook University, Cairns 4878, Australia
| | - Jamie Seymour
- Australian Institute of Tropical Health and Medicine (AITHM), James Cook University, Cairns 4878, Australia; (C.F.); (D.T.W.); (J.S.); (J.J.M.); (Y.W.)
- Centre for Molecular Therapeutics, James Cook University, Cairns 4878, Australia
| | - John J. Miles
- Australian Institute of Tropical Health and Medicine (AITHM), James Cook University, Cairns 4878, Australia; (C.F.); (D.T.W.); (J.S.); (J.J.M.); (Y.W.)
- Centre for Molecular Therapeutics, James Cook University, Cairns 4878, Australia
- Centre for Tropical Bioinformatics and Molecular Biology, James Cook University, Cairns 4878, Australia
| | - Yide Wong
- Australian Institute of Tropical Health and Medicine (AITHM), James Cook University, Cairns 4878, Australia; (C.F.); (D.T.W.); (J.S.); (J.J.M.); (Y.W.)
- Centre for Molecular Therapeutics, James Cook University, Cairns 4878, Australia
- Centre for Tropical Bioinformatics and Molecular Biology, James Cook University, Cairns 4878, Australia
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Hifumi T, Fukuchi Y, Otani N, Kondo Y, Kitamoto T, Kobayashi K, Nakaya N, Tomioka J. Clinical characteristics of stonefish "Oni-daruma-okoze" envenomation in Japan. Acute Med Surg 2020; 7:e496. [PMID: 32528708 PMCID: PMC7282246 DOI: 10.1002/ams2.496] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2019] [Accepted: 02/11/2020] [Indexed: 11/11/2022] Open
Abstract
Aim Stonefish, known in Japan as "Oni-daruma-okoze" (Synanceia verrucosa Block et Schneider), inhabit the waters surrounding the Okinawa/Amami districts. By far, habubites have been limited to these areas mainly due to climatic conditions. Due to changes promoted by global warming and increasing tourism, concerns regarding the potential for stonefish envenomation as well as jellyfish stings on the main island of Japan are increasing. However, few studies of stonefish envenomation have been reported in Japan. The current study aimed to comprehensively examine for the first time the clinical characteristics of stonefish envenomation in Japan. Methods We administered retrospective questionnaire surveys between January 2013 and December 2017 to determine patient characteristics, treatment, and clinical outcomes of stonefish envenomation. We compared patient characteristics between tourists and non-tourists. Results Over the 5-year study period, 15 patients were identified from four hospitals. More than 70% of stonefish envenomation cases occurred in the northern part of Okinawa Main Island. All patients recovered well, including four patients with severe stonefish envenomation. In two severe cases, the length of hospitalization was more than 1 week (8-9 days). Antivenom was not given. There were no significant differences between tourists and non-tourists with regard to baseline characteristics. Conclusions During a 5-year period, 15 cases of stonefish envenomation occurred in Japan. The patients recovered well without treatment with antivenom.
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Affiliation(s)
- Toru Hifumi
- Japanese Society for Clinical Toxicology, Case Study and Research Committee Tokyo Japan.,Emergency and Critical Care Medicine St. Luke's International Hospital Tokyo Japan
| | | | - Norio Otani
- Japanese Society for Clinical Toxicology, Case Study and Research Committee Tokyo Japan.,Emergency and Critical Care Medicine St. Luke's International Hospital Tokyo Japan
| | - Yutaka Kondo
- Japanese Society for Clinical Toxicology, Case Study and Research Committee Tokyo Japan.,Department of Emergency and Critical Care Medicine Juntendo University Urayasu Hospital Urayasu Japan
| | - Takeshi Kitamoto
- Japanese Society for Clinical Toxicology, Case Study and Research Committee Tokyo Japan.,Hasegawa Hospital Mitaka Japan
| | - Kentaro Kobayashi
- Japanese Society for Clinical Toxicology, Case Study and Research Committee Tokyo Japan.,Department of Emergency Medicine and Critical Care Center Hospital of National Center for Global Health and Medicine Tokyo Japan
| | - Nobuaki Nakaya
- Japanese Society for Clinical Toxicology, Case Study and Research Committee Tokyo Japan.,Saitama Medical University Hospital Saitama Japan
| | - Joji Tomioka
- Japanese Society for Clinical Toxicology, Case Study and Research Committee Tokyo Japan.,Yonemori Hospital Kagoshima Japan
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Prentice O, Fernandez WG, Luyber TJ, McMonicle TL, Simmons MD. Stonefish envenomation. Am J Emerg Med 2009; 26:972.e1-2. [PMID: 18926380 DOI: 10.1016/j.ajem.2008.01.055] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2008] [Accepted: 01/25/2008] [Indexed: 01/22/2023] Open
Abstract
As more Americans travel in greater numbers in search of exotic destinations, they may encounter dangerous marine life that hide in reefs and shallow marine waters. In this case report, we describe a case of stonefish envenomation and provide a review of the literature on management and prevention.
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Affiliation(s)
- Owen Prentice
- Department of Emergency Medicine, Boston University School of Medicine, Boston, MA, USA
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Grandcolas N, Galéa J, Ananda R, Rakotoson R, D’Andréa C, Harms JD, Staikowsky F. Piqûres par poisson-pierre : une antalgie difficile, un risque notable de complications. Presse Med 2008; 37:395-400. [DOI: 10.1016/j.lpm.2007.07.017] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/08/2007] [Revised: 06/19/2007] [Accepted: 07/07/2007] [Indexed: 01/22/2023] Open
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