Stonefish (Synancea species) sting

The Stonefish is the most venomous fish known. The venom causes both painful local symptoms and potentially lethal systemic toxicity principally affecting the heart. The antivenom has been available since 1959. However, it is rarely used. Dr S Sutherland, in a review of 'usage of antivenom' reportings to C.S.L. for a 12 month period, found only 10 cases where Stonefish antivenom was used. A 19 year old man, stung by a Stonefish, developed severe local symptoms. He required two ampoules of antivenom His management is discussed and Stonefish envenomation is reviewed