Characteristics of Marine Envenomation Cases in Kepulauan Seribu District Hospital, Indonesia
DOI:
https://doi.org/10.55175/cdk.v45i12.679Keywords:
Kepulauan Seribu, marine envenomationAbstract
Backround Kepulauan Seribu district hospital frequently manage cases of marine envenomation. Recognizing characteristics of envenomation are needed to develop clinical guideline. Method. A cross sectional study during January to December 2016. Cases of marine envenomation in the Emergency Room of Kepulauan Seribu District Hospital were documented by structured medical records. Pictures of the affected body parts were also taken. Results. Sixteen cases of marine envenomation were documented. Most subjects (87,5%) were domestic tourists. The average age of the subjects were 21,12 years old. Pain is the most common chief complaint (81,3%). Most subjects seek medical treatment less than 2 hours after the incident (56,3%). Lionfish sting was the most common cause (50%) followed by jellyfish sting (25%), other causes were stingray, sea urchin, catfish, and sea snake. Diagnosis were mostly made by focused anamnesis for animal identification (62,5%) and examination of the wounds (25%). Puncture type wound was the most common pattern (68,75%). Initial management by hot water immersion were only done in 56,3% cases. Conclusion. Lionfish sting was the most common cause of the envenomation cases in Kepulauan Seribu region. Identification of the animals and the wound patterns were the most common diagnostic methods. Hot water immersion was found to be effective to relief the pain but its use in medical management was not extensively applied.
Downloads
References
Kabupaten Administrasi Kepulauan Seribu [database on the Internet]2015 [cited 2015 20 Agustus ]. Available from: www.wikipediafoundation.org.
Courtenay G, Smith DR, Gladstone W. Occupational health issues in marine and freshwater research. J Occup Med Toxicol. 2012;7(4):1-11.
Auerbach PS. Marine Envenomations. N Eng J Med. 1991;325(7):486-93.
Ngo SYA, Ong SHJ, Ponampalam R. Stonefish envenomation presenting to a Singapore hospital. Singapore Med J. 2009;50(5):506-10.
Haddad V, Stolf HO, Risk JY, Franca FOS, Cardoso JLC. Report of 15 injuries caused by lionfish (pterois volitans) in aquarist in Brazil : a critical assessment of the severity of envenomations. Jounal of Venomous Animals and Toxins Including Tropical Disease. 2015;21(8):1-6.
Ghadessy FJ, Chen D, Kini RM, Chung MCM, Jeyaseelan K, Khoo HE, et al. Stonustoxin is a novel lethal factor from stonefish (synanceja horrida) venom. J Bio Chem. 1996;271(41):25575-81.
Isbister GK. Venomous fish stings in tropical northern Australia. Am J Emerg Med. 2001;19(7):561-5.
Suling PL. Cutaneous lesions from coastal and marine organisms. P2KB Dermatoses and STIs associated with travel to tropical countries. 2011:191-206.
Grandcolas N, Galea J, Ananda R, Rakotoson R, D’Andrea C, Harms JD, et al. Stonefish stings : difficult analgesia and notable risk of complications. Presse Med.2008;37:395-400.
Shepherd SM, Shoff WH. Jellyfish envenomation. In: Vincent J, Hall JB, editors. Encyclopedia of Intensive Care Medicine: Springer-Verlag; 2012. p. 1309-12.
Burnett JW, Calton GJ. Jellyfish envenomation syndromes updated. Ann Emerg Med. 1987;16:1000-5.
Perkins RA, Morgan SS. Poisoning, envenomation and trauma from marine creatures. Am Fam Physician. 2004;69(4):886-90.
Kabigting FD, Kempiak ST, Alexandrescu DT, Yu BD. Sea urchin granuloma secondary to Strongylocentrotus purpuratus and Strongylocentrotus fransiscanus.Dermatol Online J. 2009;15(5):http://escholarship.org/uc/item/1897s3fg.
Dorooshi G. Catfish stings : A report of two cases. J Res Med Sci. 2012;17(6):578-81.
Scoggin CH. Catfish stings. JAMA. 1975;231(2):176-7.
Huang G, Goldstein R, Mildvan D. Catfish spine envenomation and bacterial abscess with Proteus and Morganella : a case report. J Med Case Rep. 2013;7(122):1-5.
Clark RF, Girard RH, Rao D, Ly BT, Davis DP. Stingray envenomation : a retrospective review of clinical presentation and treatment in 119 cases. J Emerg Med.2007;33(1):33-7.
Fenner P. Marine envenomation : An update- a presentation of the current status of marine envenomation first aid and medical treatments. Emerg Med Australas.2000;12:295-302.
Atkinson PRT, Boyle A, Hartin D, McAuley D. Is hot water immersion an effetive treatment for marine envenomation? Emerg Med J. 2006;23:503-8.
Wilcox CL, Headlam JL, Doyle TK, Yanagihara AA. Assesing the efficacy of first-aid measures in Physalia sp. envenomation, using solution and blood agarose based models. Toxins. 2017;9(149):1-17.
Nomura JT, Sato RL, Ahern RM, Snow JL, Kuwaye TT, Yamamoto LG. A randomized paired comparison trial of cutaneous treatments for acute jellyfish (Carybdea alata) stings. Am J Emerg Med. 2002;20(7):624-6.
Yanagihara AA, Wilcox CL. Cubozoan sting-site seawater rinse, scraping, and ice can increase venom load : Upending current first aid recommendations. Toxins. 2017;9(105):1-15.
Goudey-Perriere F, Perriere C. Pharmacological properties of fish venoms. C R Seances Soc Biol Fil. 1998;192(3):503-48.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2018 https://creativecommons.org/licenses/by-nc/4.0/
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
