Human envenomation by Octopus maculosa
The clinical features fall into well-de®ned pattern and
follow a de®nite order of appearance as they develop,
and recede in the opposite direction. The mouth,
followed by the neck and the back of the head are
®rst to be affected. Breathing and paralysis of chest,
limbs weakness, paralysis of limbs, and burning
sensation of the skin on touch follows. Eventually
total paralysis, the last muscles to become paralysed
are those of eye movement.11