# Stingray Sting Injury to the Hand: A Report of a Rare Case

**Authors:** Mohamad Shawal Sjahrial, Lim Chia Hua, Elaine Soh, Shalimar Abdullah, Jamari Sapuan

PMC · DOI: 10.7759/cureus.82252 · Cureus · 2025-04-14

## TL;DR

A rare case of a stingray injury to the hand is reported, highlighting the importance of proper treatment to avoid complications.

## Contribution

This report adds a rare clinical case of stingray injury management in a controlled environment.

## Key findings

- Stingray injuries can cause severe pain and require thorough wound management.
- Prophylactic antibiotics and surgical exploration helped prevent infection.
- Hot water immersion provided effective pain relief for envenomation.

## Abstract

Stingray injuries, though rare, can cause significant complications due to mechanical trauma, envenomation, and secondary infections. This case report describes a stingray injury to the right hand of an aquatic enthusiast and pet shop owner while handling a stingray in his aquarium. The patient arrived at the emergency department with severe, localized pain, a classic sign of stingray envenomation. A comprehensive evaluation, including species identification through a photograph provided by the patient, enabled a targeted treatment plan. Initial management involved thorough wound irrigation, immersion in hot water for pain relief, and surgical exploration to remove any foreign bodies. Prophylactic antibiotics were also administered to reduce the risk of infection. This case emphasizes the need for prompt and thorough management of stingray injuries, even in controlled settings, to prevent complications and optimize outcomes.

## Full-text entities

- **Diseases:** chronic pain (MESH:D059350), pain (MESH:D010146), hematoma (MESH:D006406), inflammatory (MESH:D007249), river stingrays (MESH:D015827), wound infection (MESH:D014946), infection (MESH:D007239), lacerations (MESH:D022125), Injuries to the hand (MESH:D006230), numbness (MESH:D006987), necrosis (MESH:D009336), allergic reactions (MESH:D004342), hemolysis (MESH:D006461), bone fractures (MESH:D050723), tenderness (MESH:D063806), Stingray injuries (MESH:D014947), Stingray sting injuries (MESH:D001733), swelling (MESH:D004487), envenomation (MESH:D065008), bleeding (MESH:D006470), osteomyelitis (MESH:D010019), toxicity (MESH:D064420), compartment syndrome (MESH:D003161), muscle and ligament tears (MESH:D000070598)
- **Chemicals:** histamine (MESH:D006632), ciprofloxacin (MESH:D002939), water (MESH:D014867), fluoroquinolones (MESH:D024841), fentanyl (MESH:D005283), povidone (MESH:D011205), saline (MESH:D012965)
- **Species:** Rajiformes (skates, order) [taxon 7858], Dasyatis pastinaca (blue stingray, species) [taxon 673854], Dasyatidae (stingrays, family) [taxon 30469], Potamotrygon leopoldi (white-blotched river stingray, species) [taxon 460155], Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

3 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12077809/full.md

## References

5 references — full list in the complete paper: https://tomesphere.com/paper/PMC12077809/full.md

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Source: https://tomesphere.com/paper/PMC12077809