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Sea Urchin Stings

By

Robert A. Barish

, MD, MBA, University of Illinois at Chicago;


Thomas Arnold

, MD, Department of Emergency Medicine, LSU Health Sciences Center Shreveport

Last full review/revision May 2020| Content last modified May 2020
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Topic Resources

Sea urchins are covered with long, sharp, sometimes venom-coated spines. Touching or stepping on these spines typically causes a painful puncture wound. The spines commonly break off in the skin and cause chronic pain and inflammation if not removed. Joint and muscle pain and rashes may develop.

Sea urchin spines should be removed immediately. Because vinegar dissolves most sea urchin spines, several vinegar soaks or compresses may be all that is needed to remove spines that have not penetrated deeply. Surgical removal may be required for imbedded spines. (X-ray imaging is usually not necessary before surgery, but it may be required if the doctor suspects but is uncertain that there are imbedded spines.) Soaking the injured body part in hot water often relieves the pain.

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Test your knowledge
Fractures of the Jaw and Midface
Fractures to one or more facial structures can result from a single injury. Jaw fractures may occur to the mandible, or lower jaw, or to the maxilla, bone of the upper jaw. Other structures susceptible to fracture include the eye sockets, nose, and cheek bones. Which of the following facial structures is most likely to fracture if a person falls from a great height or hits the windshield of a car face-first during a motor vehicle accident?
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