Abstract
BackgroundMarine stings and envenomation are fairly common in Malaysia. Possible contact to various marine life occurs during diving, fishing and food handling. Even though majority of fish stings are benign, there are several venomous species such as puffer fish, scorpion fish, lionfish, stingray and stonefish that require urgent medical treatment. Stonefish is one of the most venomous fish in the world with potential fatal local and systemic toxicity effects to human.Case PresentationWe reported a case of stonefish sting complicated with impending compartment syndrome.ConclusionsMedical staff should be alert about the possibility of this potential emergency in standard management of stonefish stings.
Highlights
Marine stings and envenomation are fairly common in Malaysia
Synanceia spp. is a genus of fish from the family Synanceiidae, the Stonefish, whose members are dangerous and even fatal to human. It is one of the most venomous fish currently known in the world [1]
Sensation reduced over the tip of right index finger and oxygen saturation on pulse oximeter dropped to 89 %, which raised the fear of impending compartment syndrome associated with symptoms of acute carpal tunnel syndrome
Summary
Synanceia spp. is a genus of fish from the family Synanceiidae, the Stonefish, whose members are dangerous and even fatal to human It is one of the most venomous fish currently known in the world [1]. Case report Our patient is a thirty-year-old Burmese aquarium cleaner in Aquaria KLCC, who was accidentally stung on his right index finger by a stonefish during a cleaning work. He immediately suffered from intense burning pain over radial aspect of his right index finger. Fasciotomy was not required as the patient had responded well with the conservative management His right hand swelling and circulation improved gradually. He had a full motion in his fingers and wrists joints at six weeks follow up
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