Lionfish Envenomation

J Emerg Med. 2002 Nov;23(4):379-82. doi: 10.1016/s0736-4679(02)00572-3.


Lionfish (Pterois volitans) are venomous fish most often found as aquarium pets throughout the United States. Lionfish envenomations frequently occur on the upper extremities, with pain as the predominant symptom. Immersing the injured part in warm (45 degrees C) water is considered the first and foremost important treatment as it is reported to relieve pain and inactivate the venom. Other methods of analgesia are discussed. We present a case of lionfish envenomation that failed to respond to warm water immersion.

Publication types

  • Case Reports

MeSH terms

  • Acetaminophen / administration & dosage
  • Animals
  • Bites and Stings / drug therapy
  • Bites and Stings / etiology*
  • Bites and Stings / physiopathology
  • Drug Therapy, Combination
  • Fingers
  • Fish Venoms / adverse effects*
  • Fishes, Poisonous
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Oxycodone / administration & dosage
  • Pain Measurement
  • Risk Assessment
  • Severity of Illness Index
  • Treatment Outcome


  • Fish Venoms
  • Acetaminophen
  • Oxycodone