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Sea Anemone Sting
Sting of Sea Anemone Causing Poisoning and Toxic Reactions

Presentation

‘And since there is a wide variety of anemone hosts, and 28 species of fish, I am convinced these views present two ends of a spectrum, and a combination is probably true for many.'” [asknature.org]

This reference guide will be the must-have of any internist or medical professional, as it takes a vast quantity of data across a sweeping grid of disorders, diseases, and presentations, and boils them down to individual parts, facilely indexed, and located [books.google.com]

[…] exposure to extreme denaturing conditions, suggesting that it does not contain specific nematocyte inhibitors or excitatory substances that are masked chemically; its inert nature probably results from a lack of those stimulatory compounds that are present [rspb.royalsocietypublishing.org]

Divers will encounter them peering from a crevice or hole and, as they present a safe haven, morays will not flee, but defend their own, very aggressively. Their bite is exceptionally painful and wounds take long to heal. [ronjenjehrvatska.com]

The Cnidaria, Past, Present and Future: The world of Medusa and her sisters. Springer International Publishing. p. 240. ISBN 978-3-319-31305-4. ^ Smith, Nathan III; Lenhoff, Howard M. (1976). [en.wikipedia.org]

Entire Body System

  • Fever

    If the area appears infected or the victim develops a fever, discontinue the use of any steroid and seek medical care. [alertdiver.com]

    […] anemone sting At first, cuts and wounds on the areas usually in the legs and arms Rashes and hives that eventually becomes a blister and then drains Severe pain Itchiness Swelling of the affected areas Severe runny nose Muscle aches Lastly, headache and fever [basicfirstaid.ca]

    You have a fever. You have a skin rash, itching, or swelling after taking your medicine. You have tingling in the area of the bite or sting. You have pain or problems moving the injured area or get tender lumps in your groin or armpits. [drugs.com]

    A fever. Symptoms of difficulty breathing can range from mild to severe. [healthlinkbc.ca]

    Treatment of coral wounds involves removing visible debris and cleaning the wound thoroughly and applying antiseptic or antibiotic cream as infection is common (watch out for redness, fever, foul smell or pus). Tetanus immunisation is recommended. [dermnetnz.org]

  • Rigor

    Using stinging cells is “very clever and innovative”, he says, but he points out that pharmaceutical applications have more rigorous requirements than cosmetic ones. “There is a lot to learn before we can know its utility for drug delivery.” [newscientist.com]

Respiratoric

  • Nasal Discharge

    Systemic manifestations include weakness, nausea, headache, muscle pain and spasms, lacrimation and nasal discharge, increased perspiration, changes in pulse rate, and pleuritic chest pain. [msdmanuals.com]

Gastrointestinal

  • Nausea

    Somnolence, dizziness, nausea, vomiting, muscle aches, and lid edema were reported in some cases. The treatment of these injuries in the northern Adriatic Sea and elsewhere is discussed. [ncbi.nlm.nih.gov]

    Complex or significant envenomations (any producing systemic symptoms such as nausea, vomiting, shortness of breath or confusion) require immediate evaluation by a physician. [alertdiver.com]

    Systemic manifestations include weakness, nausea, headache, muscle pain and spasms, lacrimation and nasal discharge, increased perspiration, changes in pulse rate, and pleuritic chest pain. [msdmanuals.com]

    Other symptoms include: Paraesthesia (tingling and prickling) and itching Red bumps and patches, often in a ladder-like pattern Swelling Sweating in affected area (irukandji) Nausea and vomiting Muscle pain and cramps. [dermnetnz.org]

    Systemic reactions – although rare – include nausea, abdominal pain, vomiting, excessive sweating, muscular weakness, seizures and even coma. The wounds, notoriously slow in healing, often become infected. [health24.com]

  • Vomiting

    Somnolence, dizziness, nausea, vomiting, muscle aches, and lid edema were reported in some cases. The treatment of these injuries in the northern Adriatic Sea and elsewhere is discussed. [ncbi.nlm.nih.gov]

    Complex or significant envenomations (any producing systemic symptoms such as nausea, vomiting, shortness of breath or confusion) require immediate evaluation by a physician. [alertdiver.com]

    Other symptoms include: Paraesthesia (tingling and prickling) and itching Red bumps and patches, often in a ladder-like pattern Swelling Sweating in affected area (irukandji) Nausea and vomiting Muscle pain and cramps. [dermnetnz.org]

    […] a cold pack do not touch any spines with your bare hands do not cover or close the wound Go to A&E or call 999 if you have been stung and have: difficulty breathing chest pain fits or seizures severe swelling around the affected area severe bleeding vomiting [nhs.uk]

    Systemic reactions – although rare – include nausea, abdominal pain, vomiting, excessive sweating, muscular weakness, seizures and even coma. The wounds, notoriously slow in healing, often become infected. [health24.com]

  • Abdominal Pain

    Systemic reactions – although rare – include nausea, abdominal pain, vomiting, excessive sweating, muscular weakness, seizures and even coma. The wounds, notoriously slow in healing, often become infected. [health24.com]

    Seek medical attention if the person develops further symptoms such as abdominal pain, nausea and vomiting, or if there is continuing pain, itchiness or blistering at the site. [healthdirect.gov.au]

  • Diarrhea

    […] shortness of breath, chest pain or tightness, throat tightness, hoarse voice, nasal congestion or hay fever-like symptoms (runny, itchy nose and watery eyes, sneezing), trouble swallowing Gastrointestinal (stomach) : nausea, pain or cramps, vomiting, diarrhea [healthlinkbc.ca]

Cardiovascular

  • Chest Pain

    If you have symptoms like difficulty breathing or swallowing, chest pain, or paralysis, seek emergency medical care right away. [healthline.com]

    Itchiness Swelling of the affected areas Severe runny nose Muscle aches Lastly, headache and fever If there is difficulty breathing, severe chest pain, fast heartbeat and sweating, it needs to be treated immediately. [basicfirstaid.ca]

    Systemic manifestations include weakness, nausea, headache, muscle pain and spasms, lacrimation and nasal discharge, increased perspiration, changes in pulse rate, and pleuritic chest pain. [msdmanuals.com]

    pain fits or seizures severe swelling around the affected area severe bleeding vomiting lightheadedness or loss of consciousness Find your nearest A&E department Symptoms of sea creature stings The main symptoms of sea creature stings are intense pain [nhs.uk]

Skin

  • Skin Ulcer

    The complications that may arise from a Sea Anemone Sting may include: Anaphylaxis type allergic reaction, which can be fatal sometimes Respiratory distress Bleeding and skin ulceration can cause secondary bacterial or fungal infections to develop Scarring [dovemed.com]

  • Eczema

    During the following week it began to go down then it formed in red welts that look like chronic eczema. It's become itchy and inflamed and I started to use calamine lotion again to sooth it. [glaucus.org.uk]

  • Cutaneous Manifestation

    Cutaneous manifestations can be treated with hydrocortisone lotion and, if needed, an oral antihistamine. More severe reactions may require the addition of oral or IV prednisone. Resources In This Article [msdmanuals.com]

Neurologic

  • Headache

    Symptoms of sea anemone sting At first, cuts and wounds on the areas usually in the legs and arms Rashes and hives that eventually becomes a blister and then drains Severe pain Itchiness Swelling of the affected areas Severe runny nose Muscle aches Lastly, headache [basicfirstaid.ca]

    Systemic manifestations include weakness, nausea, headache, muscle pain and spasms, lacrimation and nasal discharge, increased perspiration, changes in pulse rate, and pleuritic chest pain. [msdmanuals.com]

    You may also experience: headaches chest pain muscle pain sweating runny nose Stings from the Australian box jellyfish and the Portuguese man-of-war, found in most warm seas, can be fatal. [healthline.com]

    […] following: Pain that burns, pricks, or stings where you were stung Itching, tingling, or numbness where you were stung Redness, rash, blisters, or other skin changes where you were stung Bleeding and swelling where you were stung Nausea and vomiting Headache [drugs.com]

    Symptoms may include widespread itching, shortness of breath, nausea, vomiting, headache, dizziness, irregular heart rate, muscle spasms and joint pain. Treatment: Rinse the affected area with copious amounts of sea water. [health24.com]

Workup

Other Pathologies

  • Hepatic Necrosis

    The patient, who developed hepatic failure within 3 days of envenomation, had negative hepatitis serologic tests and no other potential hepatotoxin exposure. A biopsy of the liver showed massive hepatic necrosis. [annals.org]

Treatment

Usually treatment involves removing stings and application of topical antibiotics and use of oral painkillers. Prognosis is normally favorable with this treatment. [tandurust.com]

Treatment Removal of tentacles Symptomatic treatment Various rinses to treat pain and deactivate nematocysts, depending on the specific animal Cnidaria sting treatment includes removal of adherent tentacles with a forceps (preferably) or fingers (double-gloved [msdmanuals.com]

Warwick-Evan LA, Masters IJ, Redstone SB (1991) A double-blind placebo-controlled evaluation of acupressure in the treatment of motion sickness. ‏ [books.google.com]

Treatment: Treatment is symptomatic. How to prevent injury: Check where the nearest doctor or hospital is before you and your family spend the day at the sea. Always be an alert swimmer and watch out for possible dangers. [health24.com]

Prognosis

Prognosis is normally favorable with this treatment. Signs And Symptoms Of Sea Anemone Sting The symptoms of sea anemone sting develop when it injects poisonous chemical through the spine of its tentacles into human beings. [tandurust.com]

Etiology

(Etiology) Sea Anemone Stings release a poisonous chemical into the human skin through their spine, which can affect the human body Depending on the amount of poison injected, the severity of the signs and symptoms is dictated Not all sea anemones have [dovemed.com]

Prevention

How to prevent stings: Check where the nearest doctor or hospital is before you and your family spend the day at the sea. Always be an alert swimmer and watch out for possible dangers. [health24.com]

The fish are actually vulnerable to the anemone's toxins, but the mucus prevents the stinging cells from firing. [infolific.com]

A layer of mucus then forms on the clownfish’s body to prevent it from getting stung again. [conservenature.org]

Chironex antivenom cross-reacts with Chiropsalmus species venom to prevent neurotoxic and myotoxic effects. However, it has not prevented cardiovascular effects in vivo. [emedicine.medscape.com]

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