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Evolution of a Jellyfish Sting
Oleh:
Avelino-Silva, Vivian Iida
;
Avelino-Silva, Thiago
Jenis:
Article from Journal - ilmiah internasional
Dalam koleksi:
The New England Journal of Medicine (keterangan: ada di Proquest) vol. 365 no. 03 (Jul. 2011)
,
page 365:251.
Fulltext:
Jellyfish.pdf
(118.55KB)
Ketersediaan
Perpustakaan FK
Nomor Panggil:
N08.K.2011.02
Non-tandon:
1 (dapat dipinjam: 0)
Tandon:
tidak ada
Lihat Detail Induk
Isi artikel
A healthy 33-year-old woman was stung by a jellyfish on the medial aspect of her left ankle while wading in the coastal waters of North Carolina. Within hours, painful, erythematous, linear, urticarial lesions developed where the jellyfish tentacles had made contact with her skin (Panel A, day 1). On day 6, vesicular lesions erupted from the site of envenomation (Panel B) and progressed rapidly over the next 24 hours (Panel C), prompting treatment with a 1-week course of glucocorticoids, antihistamines, and antibiotics. The local and systemic symptoms that develop after a sting from a jellyfish or Portuguese man-of-war depend on such factors as the type of envenomating organism, the duration and extent of exposure, the host reaction to envenomation, and the initial treatment administered. In this patient, the species of jellyfish responsible for the injury was not determined, and regression of the blisters and pruritus was under way by day 10 (Panel D). At an 8-month follow-up visit, the skin at the area of injury was much improved but remained abnormal, with minor hyperchromia and a slightly rough texture.
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