2004
DOI: 10.1016/j.toxicon.2003.12.006
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Freshwater stingrays: study of epidemiologic, clinic and therapeutic aspects based on 84 envenomings in humans and some enzymatic activities of the venom

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Cited by 113 publications
(129 citation statements)
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“…In a previous report of 84 envenoming in humans caused by freshwater stingrays, the authors demonstrated that this is the most severe local injury caused by fish in Brazil, requiring controlled and professional treatment, often with opioid analgesics and antibiotics 11 .…”
Section: Acknowledgmentsmentioning
confidence: 99%
See 1 more Smart Citation
“…In a previous report of 84 envenoming in humans caused by freshwater stingrays, the authors demonstrated that this is the most severe local injury caused by fish in Brazil, requiring controlled and professional treatment, often with opioid analgesics and antibiotics 11 .…”
Section: Acknowledgmentsmentioning
confidence: 99%
“…The place becomes edematous and erythematous and the pain persists for more than six hours, with the possibility of infections that can last days ( Table 3). This complication may indicate the presence of fragments of the stinger (Figure 1) 11 . Bacterial infections are common factors complicating the accident and, in most cases are caused by Staphylococcus and Streptococcus, but may be associated with bacteria, such as Vibrio vulnificus (more common in marine environments) and Aeromonas hidrophyla, which cause severe infections with deep tissue necrosis (Figure 1) 12 .…”
Section: Acknowledgmentsmentioning
confidence: 99%
“…Skin necrosis is frequently observed in victims wounded by large freshwater stingrays in the wild. 21 In addition, skin necrosis is more commonly observed in victims injured by freshwater stingrays than marine stingrays. A study of tissue extracts from the stingers of freshwater and marine stingrays showed that both tissue extracts had gelatinolytic, caseinolytic, and fibrinogenolytic activity but hyaluronidase activity was detected only in the extracts from freshwater stingrays.…”
Section: Discussionmentioning
confidence: 99%
“…Hot water immersion is effective in controlling acute pain but does not prevent skin necrosis. 21 Wounds caused by freshwater stingray stings such as the Aeromonas species can be complicated by severe secondary infection with virulent bacteria. 23 Prophylactic antibiotic is often required.…”
Section: Discussionmentioning
confidence: 99%
“…In the Paraná-Paraguay River system, existent data are restricted to studies carried on during the decades of 1960 and 1970 in the region of Santa Fé, Argentina (Castex 1963a,b, Achenbach & Achenbach 1976. Recently, some reports focused on the stingray invasion in the Upper Paraná River and their capacity to inflict injuries to humans (Haddad Jr. et al 2004).…”
Section: Introductionmentioning
confidence: 99%