1. 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 (December 2008)
DOI: /07-WEME-CR-153.1
Copyright © 2008 Wilderness Medical Society Terms and Conditions

2. 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  , DOI: ( /07-WEME-CR-153.1)
Copyright © 2008 Wilderness Medical Society Terms and Conditions

3. 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  , DOI: ( /07-WEME-CR-153.1)
Copyright © 2008 Wilderness Medical Society Terms and Conditions

4. 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  , DOI: ( /07-WEME-CR-153.1)
Copyright © 2008 Wilderness Medical Society Terms and Conditions

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