A 40s-year-old woman with previous history of injury due to contact with crown-of-thorns starfish, Acanthaster planci, was stung on the right middle finger. Stingray stings are very painful and patients will at a minimum need to undergo treatment for pain control. Marine Drugs. For some marine species, immersing the sting area in hot water provides relief, and is the recommended first aid for the following species by St John’s Ambulance: Blue-bottle (Pacific Man-O-War) jellyfish, Bullrout fish, Catfish, Crown-of-Thorns starfish, Stingray, Stonefish and nontropical minor jellyfish. Starfish or sea stars are star-shaped echinoderms belonging to the class Asteroidea.Common usage frequently finds these names being also applied to ophiuroids, which are correctly referred to as brittle stars or basket stars. dependable treatment and is often the underlying cause of many misadventures. Douse the tentacles liberally with vinegar for at least 30 seconds. Cytotoxic and apoptotic activities of the plancitoxin I from the venom of crown‐of‐thorns starfish (Acanthaster planci) on A375. Watch more in iWant or iWantTFC. 2012;60:399. Auerbach PS, Hays JT. Divers Alert Network. To manage initial pain after the sting, you can take over-the-counter treatments like ibuprofen (Advil, Motrin) or acetaminophen (Tylenol). The symptoms may be mild or severe and could include: If a Starfish Sting (or sting or bite of a marine creature) is suspected, it is always important to call your local emergency helpline number (or 911 in the US) without any delay, and provide as much information as possible, even if the individual does not have any symptoms. A starfish is marine creature that normally inhabits the deep ocean floors. Lakkis. Forty cases were of … J Emerg Med. Marcus EN, et al. Although the spine of the crown-of-thorn starfish had not been left in the sting wound, only contact with a spine could have resulted in her injury. Molecular and Cellular Toxicology, 9(2), 1771-1784. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD009688.pub2/abstract. New York, N.Y.: The McGraw Hill Companies; 2016. http://accessmedicine.mhmedical.com. A few helpful tips to prevent Starfish Sting include: National Capital Poison Center (USA)3201 New Mexico Ave, Suite 310 Washington, DC 20016Administrative Line: (202) 362-3867Emergency Line: 1 (800) 222-1222Fax: (202) 362-8377Email: pc@poison.orgWebsite: http://www.poison.org, American Association of Poison Control Centers (USA)515 King St., Suite 510, Alexandria, VA 22314Phone: (703) 894-1858Email: info@aapcc.orgWebsite: http://www.aapcc.org, National Poisons Centre (New Zealand)Dunedin School of Medicine, University of OtagoPO Box 913 Dunedin 9054, New ZealandPhone: 0800 POISON (0800 764 766)Website: http://www.poisons.co.nz, NSW Poisons Information Centre (Australia)Hawkesbury Rd & Hainsworth Street, Westmead NSW 2145, AustraliaPhone: +61 13 11 26Email: nswpoisons@chw.edu.auWebsite: https://www.poisonsinfo.nsw.gov.au, British Columbia Drug and Poison Information Centre (Canada)Room 0063, BC Centre for Disease Control655 West 12th AvenueVancouver, BC V5Z 4R4 CanadaPhone: (604) 682-5050Toll-Free: 1 (800) 567-8911Fax: (604) 707-2807Website: http://www.capcc.ca, Poisons Information Centre (South Africa)Room 411, Institute of Child HealthRed Cross Children's HospitalKlipfontein Road, Rondebosch, 7700, Cape Town South AfricaPhone: +27 21 658 5308Fax: +27 21 650 4492Email: poisonsinformation@uct.ac.zaWebsite: https://www.afritox.co.za, National Poisons Information Service (United Kingdom)City Hospital Dudley Rd, Birmingham United Kingdom B187QHPhone: +44 844 892 0111Fax: +44 121 507 55 88Email: mail@npis.orgWebsite: http://www.npis.org, http://www.nhs.uk/conditions/stings-marine-creatures/pages/treatment.aspx (accessed on 12/23/2015), https://www.betterhealth.vic.gov.au/health/healthyliving/bites-and-stings-first-aid (accessed on 12/23/2015). After immediately losing consciousness, she died 13 h after injury despite intensive medical treatment. Call 911. NOAA Ocean Service Education. Toxins. Call your local emergency helpline number or 911 immediately as mentioned before. Keio J Med. 2013;11:523. 1987 Nov-Dec. 5(6):487-91. . Wilderness & Environmental Medicine. Lee, C. C., Hsieh, H. J., & Hwang, D. F. (2015). 2017; 9:104. Jellyfish are a type of gelatinous, invertebrate marine animal that is free-swimming, non-aggressive, and is surrounded by tentacles. 2015;26:422. Immerse the stung area in warm water for 30 minutes to one hour. Ihama, Y., Fukasawa, M., Ninomiya, K., Kawakami, Y., Nagai, T., Fuke, C., & Miyazaki, T. (2014). Check out these best-sellers and special offers on books and newsletters from Mayo Clinic. S2 cells. Cytotoxicity of venom from crown-of-thorns starfish (Acanthaster planci) spine. Jellyfish stings: A practical approach. Yanagihara AA, et al. 2013;61:253. Please remove adblock to help us create the best medical content found on the Internet. Pain unfortunately may return to the bite Sea star wasting disease or starfish wasting syndrome is a disease of starfish and several other echinoderms that appears sporadically, causing mass mortality of those affected. Jellyfish stings. For less severe stings: Use ice packs or over-the-counter pain relievers or antihistamines for welts. Marine trauma and envenomation. All rights reserved. The sting is painful, but usually not very harmful. Depending on the region where you have been enjoying open waters, you could come suffer a bite or sting from the following creatures of the sea – jellyfish, Portuguese Man-of-War, stingray, stonefish, scorpion fish, catfish, sea urchins, sea anemone, coral, cone shell, barracuda, moray (or electric eel), and sharks [1]. Hornbeak KB, et al. Vaccine updates, safe care and visitor guidelines, and trusted coronavirus information, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Mayo Clinic Minute: What to do if you are stung by a jellyfish, Book: Mayo Clinic Family Health Book, 5th Edition, Newsletter: Mayo Clinic Health Letter — Digital Edition, FREE book offer – Mayo Clinic Health Letter. This content does not have an English version. Your doctor may collect samples of the stingers. You can use topical antibiotic creams like … Lee, C. C., Tsai, W. S., Hsieh, H. J., & Hwang, D. F. (2013). On the east coast of Australia, the best known species is the eel tailed catfish , which occurs in coastal rivers. The tentacles can protect the animal from predators and use them to sting or capture them. Severe symptoms may be systemic and may additionally include: Muscular spasms, joint pain and stiffness, Move the individual away from the water or incident spot, Make a note of the exact time of the incident and notify the emergency medical personnel accordingly, Try to remove the stinger (if visible), by gently scraping the site using a hard-edged object (either metal or plastic) or a pair of tweezers, Try to identify or locate the marine animal (only if safely possible) and keep the medical personnel informed, DO NOT give anything orally to the individual, Unless directed by the physician, DO NOT give any medication, Avoid making an attempt to touch or handle marine animals unnecessarily, even if they are pets, Do not ignore warnings of lifeguards or health officials at the beach, Wear protective clothing if you plan to swim or dive in infested areas, Generally be aware or watchful of the waters you are in (to the extent possible), Do not handle dead starfish, since they can also cause an accidental sting, Call your local emergency helpline number (or 911) for help, Remove the victim immediately from the water, When in doubt, wash the affected area with seawater and not freshwater, If possible, use hot water to repeatedly wash the wound, Do not hesitate to call your emergency help services, Do not remove stingers without wearing suitable protective hand gloves, Do not medicate the individual, unless advised by a healthcare professional, Do not move the affected region of the body too much, Do not run or exercise which might increase the circulation of toxin in the body, Do not elevate the affected area above the heart level, since this can also increase circulation of the toxin. 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