Rhabdomyolysis secondary to an accident with marine stingray (Dasyatis family)

Abstract

Whenever humans come in touch with the sea, they become vulnerable to risks, most frequently on account of invading a habitat that belongs to potentially harmful aquatic animals. World literature shows a growing number of incidents in recent years with marine stingrays, despite the fact that these animals only attack when harassed. This report describes an accident in which an amateur fisherman was injured by a marine stingray, probably of the Dasyatis family, on his left forearm. The puncture wound was highly painful and progressed to rhabdomyolysis. It is conjectured that lymphatic drainage, applied in an attempt to reduce edema and its complications, may have contributed to rebound increase in serum creatine kinase levels (CK) and, thus, has exacerbated the intensity of rhabdomyolysis. Therefore, as a measure of caution, lymphatic drainage should not enter current treatment protocols for similar cases, until new studies are performed in order to clarify this issue.

Bioactive Components in Fish Venoms

“…The rhabdomyolysis effect was more severe in those mice injected with the venom of P. motoro than those injected with P. iwame venom [ 80 ]. Rhabdomyolysis was also observed in a clinical case in which a fisherman was stung by a marine stingray, thought to be from the Dasyatis family [ 81 ].…”