title: Lionfish envenomation.
abstract: Lionfish (Pterois volitans) are venomous fish most often found as aquarium pets throughout the United States. Lionfish envenomations frequently occur on the upper extremities, with pain as the predominant symptom. Immersing the injured part in warm (45 degrees C) water is considered the first and foremost important treatment as it is reported to relieve pain and inactivate the venom. Other methods of analgesia are discussed. We present a case of lionfish envenomation that failed to respond to warm water immersion.
authors.affiliation: Department of Emergency Medicine, Newark Beth Israel Medical Center, Newark, New Jersey, USA.
authors.forename: Stephen J
authors.initials: SJ
authors.lastname: Vetrano
authors.forename: Jeffery B
authors.initials: JB
authors.lastname: Lebowitz
authors.forename: Steven
authors.initials: S
authors.lastname: Marcus
mesh_terms: D000082:Acetaminophen / Q000008:administration & dosage; D000818:Animals; D001733:Bites and Stings / Q000188:drug therapy / Q000209:etiology* / Q000503:physiopathology; D004359:Drug Therapy, Combination; D005385:Fingers; D005397:Fish Venoms / Q000009:adverse effects*; D005400:Fishes, Poisonous; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010098:Oxycodone / Q000008:administration & dosage; D010147:Pain Measurement; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome
chemical_list: D005397:Fish Venoms; D000082:Acetaminophen; D010098:Oxycodone