Mayser P, Dreyer F, Repp H
Zentrum für Dermatologie und Andrologie, Universitätsklinikum an der Justus-Liebig-Universität Giessen.
Hautarzt. 2003 Jul;54(7):633-7. doi: 10.1007/s00105-002-0463-4. Epub 2003 Feb 28.
A 54-year-old recreational angler was stung in his right forefinger by Echiichthys draco. Within a few seconds he developed severe swelling with extreme pain sensation at the sting site, accompanied by dizziness and chill. Even under morphine therapy the pain symptoms were only slightly reduced. During the subsequent weeks, an erythema with marginate medium-sized scaling developed at the sting site and the patient experienced a approximately 50% reduced bending capacity of the forefinger and permanent numbness in this region. After 4 months, Raynaud phenomenon developed limited to the right forefinger. Great weever fishes (Echiichthys spp.) are the most venomous fishes in European waters. In humans, life-threatening sting reactions occur only in exceptional cases. As a commercial antiserum is not available, the therapy is mainly empiric (General measures of first aid and emergency medicine, the wound should be thoroughly washed). Patients should be informed that reduced motion ability, swelling or Raynaud's phenomenon can persist for several months.
一名54岁的休闲垂钓者右手食指被毒鲉蜇伤。几秒钟内，蜇伤部位出现严重肿胀并伴有剧痛，同时伴有头晕和寒战。即使在吗啡治疗下，疼痛症状也只是略有减轻。在随后的几周里，蜇伤部位出现了边缘有中等大小鳞屑的红斑，患者食指的弯曲能力下降了约50%，该区域出现永久性麻木。4个月后，雷诺现象仅局限于右手食指出现。毒鲉是欧洲海域毒性最强的鱼类。在人类中，危及生命的蜇伤反应仅在极少数情况下发生。由于没有商业化的抗血清，治疗主要是经验性的（采取急救和急诊医学的一般措施，伤口应彻底清洗）。应告知患者运动能力下降、肿胀或雷诺现象可能会持续数月。
