TY - CHAP M1 - Book, Section TI - Scorpionfish Sting A1 - Zafren, Ken A1 - Thurman, R. Jason A1 - Jones, Ian D. A2 - Knoop, Kevin J. A2 - Stack, Lawrence B. A2 - Storrow, Alan B. A2 - Thurman, R. Jason PY - 2021 T2 - The Atlas of Emergency Medicine, 5e AB - Scorpionfish are colorful venomous marine animals found primarily in tropical waters. Their exotic beautiful appearance has made them increasingly popular among marine aquarists in the United States. Many envenomations have resulted from mishandling. They are well camouflaged in the wild. Stings are usually caused by accidentally stepping on them. Scorpionfish are grouped into the genera Pterois (lionfish), Scorpaena (scorpionfish proper), and Synanceja (stonefish), in order of increasing severity of envenomation. All have multiple spines associated with venom glands. Envenomation results from skin puncture followed by venom release. Immediately following a sting, the victim experiences intense pain that lasts for hours if untreated. The envenomation site may become warm, erythematous, and edematous, and vesicles may arise. Lionfish stings are painful but relatively mild, while systemic effects are more common with stonefish stings and may produce a constellation of cardiovascular, pulmonary, neurologic, and gastrointestinal sequelae. Death has been reported from stonefish stings. SN - PB - McGraw-Hill CY - New York, NY Y2 - 2024/04/19 UR - accessmedicine.mhmedical.com/content.aspx?aid=1181051114 ER -