Brian Lin, MD, Robert L. Norris, MD, Paul S. Auerbach, MD 

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Presentation transcript:

A Case of Elevated Liver Function Tests After Crown-of-Thorns (Acanthaster planci) Envenomation  Brian Lin, MD, Robert L. Norris, MD, Paul S. Auerbach, MD  Wilderness & Environmental Medicine  Volume 19, Issue 4, Pages 275-279 (December 2008) DOI: 10.1580/07-WEME-CR-153.1 Copyright © 2008 Wilderness Medical Society Terms and Conditions

Figure 1 Photograph of patient's right foot, taken on presentation to the Emergency Department. Multiple puncture wounds are noted in several toes. Wilderness & Environmental Medicine 2008 19, 275-279DOI: (10.1580/07-WEME-CR-153.1) Copyright © 2008 Wilderness Medical Society Terms and Conditions

Figure 2 Lateral plain radiograph of patient's right foot. The black arrow denotes a radiopaque spine in the soft tissue of the patient's great toe. Wilderness & Environmental Medicine 2008 19, 275-279DOI: (10.1580/07-WEME-CR-153.1) Copyright © 2008 Wilderness Medical Society Terms and Conditions

Figure 3 Selected computed tomography image of patient's right foot. A red circle redemonstrates a spine that was seen on the plain radiograph. Wilderness & Environmental Medicine 2008 19, 275-279DOI: (10.1580/07-WEME-CR-153.1) Copyright © 2008 Wilderness Medical Society Terms and Conditions

Figure 4 Photograph of the crown-of-thorns in its native environment, a coral reef. Wilderness & Environmental Medicine 2008 19, 275-279DOI: (10.1580/07-WEME-CR-153.1) Copyright © 2008 Wilderness Medical Society Terms and Conditions