Montoya-Giraldo María Alejandra, Franco-González Sebastián, Zuluaga Andrés F
Laboratorio Integrado de Medicina Especializada, Hospital Alma Mater de Antioquia, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia.
Oficina de Coordinación, Unidad Funcional de Urgencias, Los Cobos Medical Center, Bogotá, D.C., Colombia.
Biomedica. 2025 Aug 11;45(3):337-344. doi: 10.7705/biomedica.7230.
The lionfish (Pterois volitans) is an invasive species in the Caribbean Sea that can accidentally inject venom into humans through its spines. Here, we report a case of lionfish envenomation, highlighting a potential emerging threat to public health in Colombia. The case describes a healthy 59-year-old woman who suffered an accidental sting on the fourth finger of her left hand after contact with a lionfish spin while diving in Aruba. On-site treatment included hot compresses, antihistamines, and systemic corticosteroids. However, the patient experienced severe pain, coldness, and paleness in the affected finger. One day later, the patient traveled to Bogotá, Colombia, and developed swelling, loss of sensitivity, and changes in skin coloration. In the emergency unit, the patient received pharmacological treatment with 100 mg of aspirin administered orally and 60 mg of enoxaparin administered subcutaneously; also, a calcium antagonist was prescribed for vasospasm management (30 mg of nifedipine 30 administered orally), and complementary studies were ordered. Paraclinical results were normal, and the Doppler ultrasound of the left upper limb arterial vessels showed no abnormalities. The treatment was successful, and the patient fully recovered. Given the novelty of this affection for our country, the patient’s favorable evolution after latestage pharmacological management, and the limitations of the initial treatment, we present a broad discussion based on the review of related literature.
狮子鱼（褐篮子鱼）是加勒比海的一种入侵物种，其毒刺可能会意外地将毒液注入人体。在此，我们报告一例狮子鱼蜇伤病例，强调了哥伦比亚公共卫生领域一个潜在的新威胁。该病例描述的是一名59岁健康女性，她在阿鲁巴潜水时与狮子鱼的毒刺接触后，左手无名指意外被蜇。现场治疗包括热敷、使用抗组胺药和全身性皮质类固醇。然而，患者受影响的手指出现了剧痛、发冷和苍白症状。一天后，患者前往哥伦比亚波哥大，出现了肿胀、感觉丧失和皮肤颜色变化。在急诊室，患者接受了口服100毫克阿司匹林和皮下注射60毫克依诺肝素的药物治疗；此外，还开了一种钙拮抗剂用于治疗血管痉挛（口服30毫克硝苯地平），并安排了辅助检查。临床旁检查结果正常，左上肢动脉血管的多普勒超声检查未发现异常。治疗取得成功，患者完全康复。鉴于这种病症在我国较为罕见，患者在后期药物治疗后情况良好，以及初始治疗存在局限性，我们在回顾相关文献的基础上进行了广泛讨论。
