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Insect stings.

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Humans↗

[Ratfish (chimaera monstrosa) sting].

A fisherman was accidentally stung on his right calf by the spine of a ratfish (chimaera monstrosa). Adjacent to the wound was a swelling, with a bluish skin colour the first day. The fisherman experienced an immediate burning pain and during the following days developed numbness of the calf and the back of the thigh. He needed crutches for three weeks, and the symptoms lasted for nine weeks. The treatment consists of rinsing the wound and removing foreign material, and submerging the afflicted limb as soon as possible in water as hot as the patient can tolerate for at least 30 minutes.

Adult↗

Fish stings and other marine envenomations.

West Virginia, it would seem, is an unlikely place for physicians to encounter patients with poisonous marine envenomations. To the contrary, West Virginias who vacation at the beach may be envenomated and require further evaluation and treatment when they return home. Likewise, certain aquarium pets or even freshwater fish may envenomate those who have contact with them. Such underwater sea creatures can cause local and systemic toxic or allergic reactions which potentially can be serious. This article describes these possible toxic encounters as well as first aid and medical management.

Bites and Stings↗

Scorpion stings.

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Animals↗

Bee sting-induced haemolysis, spherocytosis and neural dysfunction in three dogs.

Three dogs showed signs of intravascular haemolysis, spherocytosis and peripheral neuropathy following severe bee envenomation. These effects were ascribed to the constituents of bee venom, especially melittin and phospholipase A. All 3 cases recovered and were discharged subsequent to prednisolone and supportive therapy.

Anemia, Hemolytic↗