ArticleInternational journal of emergency medicine2025
Suspected stonefish (Synanceia verrucosa) envenomation on Reunion Island.
Article in International journal of emergency medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionEnvenomations induced by stonefish (Synanceia verrucosa) stings are among the most painful envenomations in the marine environment. Reunion Island in the Indian Ocean is not spared from these envenomations. The aim of this series is to characterize suspected cases of stonefish envenomation and to describe the associated clinical management.
methodsThis is a retrospective observational series of suspected stonefish envenomations recorded into the database of the Indian Ocean toxicovigilance Department between 1 January 2020 and 2 June 2024 on Reunion Island. Data on clinical characteristics were obtained from the patients' electronic medical records, and additional information was obtained during telephone conversations with the victims if necessary.
resultsBetween January 2020 and June 2024, 135 stonefish envenomations were recorded. Most victims were male, with a median age of 31.5 years. January recorded the highest number of cases. The majority of envenomations occurred on beaches, notably l'Ermitage (66 cases) and Saint-Pierre (39 cases), with the foot being the most affected area (94.8%). The pain was intense for most cases (Visual Analogue Scale 8-10), and skin symptoms included localized and extensive oedema, as well as necrotic halos in some instances. General symptoms like hypertension and paresthesia were rare. No fatalities occurred. Treatment involved opioids, paracetamol, and hot water immersion. Our findings demonstrated a statistically significant correlation between the number of stings and the extent of edema (p < 0.00003). However, no significant relationship was found between the number of stings and pain intensity (p = 0.86).
conclusionsOn Reunion Island, approximately 30 suspected stonefish stings occur annually, with a peak in January and frequent locations including l'Ermitage and Saint-Pierre. These envenomations mainly affect the foot and cause intense pain, sometimes accompanied by significant oedema correlated with the number of stings. While no deaths were recorded, emergency care is often necessary. In the absence of official guidelines, locoregional anaesthesia appears to be an effective strategy for pain relief.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.