This article describes the health effects that occur due to the venom of a sting from a stonefish. It does not discuss allergic reactions.
This is for information only and not for use in the treatment or management of an actual poison exposure. If you have an exposure, you should call your local emergency number (such as 911) or the National Poison Control Center at 1-800-222-1222.
Airways and lungs
Heart and blood
Severe pain at the site of the sting
Whitened color of the area around the site of the sting
Color of the area changes as the amount of oxygen supplying the area decreases
Wash the area with fresh water. Remove any foreign material at the wound site. Contact an emergency room. Soak wound in the hottest water the patient can tolerate for 30 - 90 minutes, if instructed to do so.
Before Calling Emergency
Determine the following information:
Patient's age, weight, and condition
Name of fish
Time of the sting
Location of the sting
Poison Control, or a local emergency number
The National Poison Control Center (1-800-222-1222) can be called from anywhere in the United States. This national hotline number will let you talk to experts in poisoning. They will give you further instructions.
This is a free and confidential service. All local poison control centers in the United States use this national number. You should call if you have any questions about poisoning or poison prevention. It does NOT need to be an emergency. You can call for any reason, 24 hours a day, 7 days a week.
The health care provider will measure and monitor the patient's vital signs, including temperature, pulse, breathing rate, and blood pressure. The wound and symptoms will be treated as appropriate. Some or all of the following procedures may be performed:
Washing of the skin (irrigation)
Removal of any foreign material
Soaking of the wound
Medications to treat symptoms
Medicine (antiserum) to reverse the effect of the venom
The patient may receive:
Fluids through a vein (by IV)
Recovery usually takes about 24 - 48 hours. Death has occurred when the patient's chest or abdomen was punctured.
Isbister GK, Caldicott DG. Trauma and evenomations from marine fauna. In: Tintinalli JE, Kelen GD, Stapczynski JS, Ma OJ, Cline DM, eds. Emergency Medicine: A Comprehensive Study Guide. 6th ed. New York, NY: McGraw-Hill; 2004:chap 196.
Eric Perez, MD, St. Luke's / Roosevelt Hospital Center, NY, NY, and Pegasus Emergency Group (Meadowlands and Hunterdon Medical Centers), NJ. Review provided by VeriMed Healthcare Network.