Trial Assay for Safe First-Aid Protocol for the Stinging Sea Anemone <i>Anemonia viridis</i> (Cnidaria: Anthozoa) and a Severe Toxic Reaction

<i>Anemonia viridis</i> is an abundant and widely distributed temperate sea anemone that can form dense congregations of individuals. Despite the potential severity of its sting, few detailed cases have been reported. We report a case of a severe toxic reaction following an <i>A. v...

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Main Authors: Ainara Ballesteros, Janire Salazar, Macarena Marambio, José Tena, José Rafael García-March, Diana López, Clara Tellez, Carles Trullas, Eric Jourdan, Corinne Granger, Josep-Maria Gili
Format: Article
Language:English
Published: MDPI AG 2022-01-01
Series:Toxins
Subjects:
Online Access:https://www.mdpi.com/2072-6651/14/1/27
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author Ainara Ballesteros
Janire Salazar
Macarena Marambio
José Tena
José Rafael García-March
Diana López
Clara Tellez
Carles Trullas
Eric Jourdan
Corinne Granger
Josep-Maria Gili
author_facet Ainara Ballesteros
Janire Salazar
Macarena Marambio
José Tena
José Rafael García-March
Diana López
Clara Tellez
Carles Trullas
Eric Jourdan
Corinne Granger
Josep-Maria Gili
author_sort Ainara Ballesteros
collection DOAJ
description <i>Anemonia viridis</i> is an abundant and widely distributed temperate sea anemone that can form dense congregations of individuals. Despite the potential severity of its sting, few detailed cases have been reported. We report a case of a severe toxic reaction following an <i>A. viridis</i> sting in a 35-year-old oceanographer. She developed severe pain, itching, redness, and burning sensation, which worsened one week after treatment with anti-inflammatories, antihistamines and corticosteroids. Prompted by this event, and due to the insufficient risk prevention, lack of training for marine-environment users, and lack of research into sting-specific first-aid protocols, we evaluated the cnidocyst response to five different compounds commonly recommended as rinse solutions in first-aid protocols (seawater, vinegar, ammonia, baking soda, and freshwater) by means of the Tentacle Solution Assay. Vinegar and ammonia triggered an immediate and massive cnidocyst discharge after their application and were classified as activator solutions. Baking soda and freshwater were also classified as activator solutions, although with a lower intensity of discharge. Only seawater was classified as a neutral solution and therefore recommended as a rinse solution after <i>A. viridis</i> sting, at least until an inhibitory solution is discovered.
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spelling doaj.art-0311899f91144cc18417d3e9358141a22023-11-23T15:35:50ZengMDPI AGToxins2072-66512022-01-011412710.3390/toxins14010027Trial Assay for Safe First-Aid Protocol for the Stinging Sea Anemone <i>Anemonia viridis</i> (Cnidaria: Anthozoa) and a Severe Toxic ReactionAinara Ballesteros0Janire Salazar1Macarena Marambio2José Tena3José Rafael García-March4Diana López5Clara Tellez6Carles Trullas7Eric Jourdan8Corinne Granger9Josep-Maria Gili10ICM-CSIC-Institute of Marine Sciences, Department of Marine Biology and Oceanography, Passeig Marítim de la Barceloneta 37-49, 08003 Barcelona, SpainICM-CSIC-Institute of Marine Sciences, Department of Marine Biology and Oceanography, Passeig Marítim de la Barceloneta 37-49, 08003 Barcelona, SpainICM-CSIC-Institute of Marine Sciences, Department of Marine Biology and Oceanography, Passeig Marítim de la Barceloneta 37-49, 08003 Barcelona, SpainIMEDMAR-UCV-Institute of Environment and Marine Science Research, Universidad Católica de Valencia SVM, C. Explanada del Puerto S/n, Calp, 03710 Alicante, SpainIMEDMAR-UCV-Institute of Environment and Marine Science Research, Universidad Católica de Valencia SVM, C. Explanada del Puerto S/n, Calp, 03710 Alicante, SpainIMEDMAR-UCV-Institute of Environment and Marine Science Research, Universidad Católica de Valencia SVM, C. Explanada del Puerto S/n, Calp, 03710 Alicante, SpainIMEDMAR-UCV-Institute of Environment and Marine Science Research, Universidad Católica de Valencia SVM, C. Explanada del Puerto S/n, Calp, 03710 Alicante, SpainISDIN, Innovation and Development, C. Provençals 33, 08019 Barcelona, SpainISDIN, Innovation and Development, C. Provençals 33, 08019 Barcelona, SpainISDIN, Innovation and Development, C. Provençals 33, 08019 Barcelona, SpainICM-CSIC-Institute of Marine Sciences, Department of Marine Biology and Oceanography, Passeig Marítim de la Barceloneta 37-49, 08003 Barcelona, Spain<i>Anemonia viridis</i> is an abundant and widely distributed temperate sea anemone that can form dense congregations of individuals. Despite the potential severity of its sting, few detailed cases have been reported. We report a case of a severe toxic reaction following an <i>A. viridis</i> sting in a 35-year-old oceanographer. She developed severe pain, itching, redness, and burning sensation, which worsened one week after treatment with anti-inflammatories, antihistamines and corticosteroids. Prompted by this event, and due to the insufficient risk prevention, lack of training for marine-environment users, and lack of research into sting-specific first-aid protocols, we evaluated the cnidocyst response to five different compounds commonly recommended as rinse solutions in first-aid protocols (seawater, vinegar, ammonia, baking soda, and freshwater) by means of the Tentacle Solution Assay. Vinegar and ammonia triggered an immediate and massive cnidocyst discharge after their application and were classified as activator solutions. Baking soda and freshwater were also classified as activator solutions, although with a lower intensity of discharge. Only seawater was classified as a neutral solution and therefore recommended as a rinse solution after <i>A. viridis</i> sting, at least until an inhibitory solution is discovered.https://www.mdpi.com/2072-6651/14/1/27cnidarian venomcnidocyst dischargecnidocytemarine knowledgerisk preventionseawater
spellingShingle Ainara Ballesteros
Janire Salazar
Macarena Marambio
José Tena
José Rafael García-March
Diana López
Clara Tellez
Carles Trullas
Eric Jourdan
Corinne Granger
Josep-Maria Gili
Trial Assay for Safe First-Aid Protocol for the Stinging Sea Anemone <i>Anemonia viridis</i> (Cnidaria: Anthozoa) and a Severe Toxic Reaction
Toxins
cnidarian venom
cnidocyst discharge
cnidocyte
marine knowledge
risk prevention
seawater
title Trial Assay for Safe First-Aid Protocol for the Stinging Sea Anemone <i>Anemonia viridis</i> (Cnidaria: Anthozoa) and a Severe Toxic Reaction
title_full Trial Assay for Safe First-Aid Protocol for the Stinging Sea Anemone <i>Anemonia viridis</i> (Cnidaria: Anthozoa) and a Severe Toxic Reaction
title_fullStr Trial Assay for Safe First-Aid Protocol for the Stinging Sea Anemone <i>Anemonia viridis</i> (Cnidaria: Anthozoa) and a Severe Toxic Reaction
title_full_unstemmed Trial Assay for Safe First-Aid Protocol for the Stinging Sea Anemone <i>Anemonia viridis</i> (Cnidaria: Anthozoa) and a Severe Toxic Reaction
title_short Trial Assay for Safe First-Aid Protocol for the Stinging Sea Anemone <i>Anemonia viridis</i> (Cnidaria: Anthozoa) and a Severe Toxic Reaction
title_sort trial assay for safe first aid protocol for the stinging sea anemone i anemonia viridis i cnidaria anthozoa and a severe toxic reaction
topic cnidarian venom
cnidocyst discharge
cnidocyte
marine knowledge
risk prevention
seawater
url https://www.mdpi.com/2072-6651/14/1/27
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