Digital ischaemia: a rare but severe complication of jellyfish sting

Lam, Stacey C; Hung, Yuk-Wah; Chow, Elaine; Ck, Wong; Tse, Wing Lim; Ho, Pak Cheong

doi:10.12809/hkmj134155

Cited by 9 publications

(6 citation statements)

References 7 publications

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“…Major debilitation occurred in all three patients. Lam et al 6 reported a man who had ischemia and gangrene of his hand and required fasciotomy and repeated surgical débridement.…”

Section: Discussionmentioning

confidence: 99%

Successful treatment of jellyfish sting-induced severe digital ischemia with intravenous iloprost infusion

Chan

Law

et al. 2016

Journal of Vascular Surgery Cases

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Jellyfish sting-induced vasospasm and vasculitis is a rare complication that could lead to severe digital ischemia and gangrene. We report a 39-year-old woman with severe pain in her right middle, ring, and little fingers after being stung by a jellyfish. Therapy was initiated with a course of intravenous iloprost infusion and subcutaneous low-molecular-weight heparin, with successful revascularization. Our case illustrates that although emergency transfer to a vascular center is ideal, even in a delayed setting, patients can still benefit from specialist vascular care with a combination of medication and iloprost treatment, with acceptable functional outcome.

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“…Major debilitation occurred in all three patients. Lam et al 6 reported a man who had ischemia and gangrene of his hand and required fasciotomy and repeated surgical débridement.…”

Section: Discussionmentioning

confidence: 99%

Successful treatment of jellyfish sting-induced severe digital ischemia with intravenous iloprost infusion

Chan

Law

et al. 2016

Journal of Vascular Surgery Cases

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“…There are very few published studies of jellyfishes in Hong Kong (Lam et al 2014;Nong et al 2020). This observation highlighting the new record of A. shawi can help further improve the knowledge on the range of this species and encourage new studies that may attempt to describe the biology and ecology of this rare species.…”

Section: Introductionmentioning

confidence: 84%

Sighting of the rare jellyfish Anomalorhiza shawi Light, 1921 in a marine protected area of Hong Kong

Ricca¹,

Cheung²

2021

CheckList

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Anomalorhiza shawi Light, 1921 is a species of rhizostome jellyfish (Cnidaria, Rhizostomeae), which is the most diverse order of scyphozoan jellyfishes. This species has rarely been observed, such that little information exists on its distribution or biology. We report a new sighting of A. shawi in the Hoi Ha Wan Marine Park of Hong Kong, which extends this species’ geographic distribution by 1,116 km northwards from Manila Bay, Philippines. We also highlight the value of community science platforms for species identification and range extension.

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“…Other systemic reactions Acute renal failure Hydrozoa [120] Arrythmia Hydrozoa [121] Rhabdomyolysis Hydrozoa [122,123] Erythema nodosum Hydrozoa [124] Deep venous thrombosis Scyphozoa [125] Facial swelling unknown [126,127] Digital necrosis unknown [128][129][130] Spinal cord infarct unknown [131] Cellulitis Scyphozoa [79] Myalgia Scyphozoa, Cubozoa [132] Abdominal cramping Scyphozoa, Cubozoa [13,119] Cough Scyphozoa [13,119] Nausea and vomiting Hydrozoa [133] Cold sweating Hydrozoa [133] Delayed eye swelling unknown [134] Long term reactions Keloids Cubozoa [71,73] Lichen planus unknown [135] Hyperpigmentation Scyphozoa, Hydrozoa, Cubozoa [78,86,136] Fat atrophy unknown [137] Delayed necrosis Cubozoa [82] Gangrene Cubozoa [138] Persistent hypersensitivity Scyphozoa [139] Koebner Phenomenon unknown [140] Persistent neuropathy unknown [111] Granulomatous infiltration Cubozoa [87] Nodular papular eruption Cubozoa [84] Potentially fatal reactions Immediate cardiac arrest Cubozoa [141][142][143] Acute myocardial infarction unknown [29,31] Rapid respiratory arrest Cubozoa, Scyphozoa…”

Section: Type Of Reaction Reaction Class Implied Referencesmentioning

confidence: 99%

Raising Awareness on the Clinical and Forensic Aspects of Jellyfish Stings: A Worldwide Increasing Threat

Cunha

Dinis-Oliveira

2022

IJERPH

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Jellyfish are ubiquitous animals registering a high and increasing number of contacts with humans in coastal areas. These encounters result in a multitude of symptoms, ranging from mild erythema to death. This work aims to review the state-of-the-art regarding pathophysiology, diagnosis, treatment, and relevant clinical and forensic aspects of jellyfish stings. There are three major classes of jellyfish, causing various clinical scenarios. Most envenomations result in an erythematous lesion with morphological characteristics that may help identify the class of jellyfish responsible. In rare cases, the sting may result in delayed, persistent, or systemic symptoms. Lethal encounters have been described, but most of those cases happened in the Indo-Pacific region, where cubozoans, the deadliest jellyfish class, can be found. The diagnosis is mostly clinical but can be aided by dermoscopy, skin scrapings/sticky tape, confocal reflectance microscopy, immunological essays, among others. Treatment is currently based on preventing further envenomation, inactivating the venom, and alleviating local and systemic symptoms. However, the strategy used to achieve these effects remains under debate. Only one antivenom is currently used and covers merely one species (Chironex fleckeri). Other antivenoms have been produced experimentally but were not tested on human envenomation settings. The increased number of cases, especially due to climate changes, justifies further research in the study of clinical aspects of jellyfish envenoming.

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Digital ischaemia: a rare but severe complication of jellyfish sting

Cited by 9 publications

References 7 publications

Successful treatment of jellyfish sting-induced severe digital ischemia with intravenous iloprost infusion

Successful treatment of jellyfish sting-induced severe digital ischemia with intravenous iloprost infusion

Sighting of the rare jellyfish Anomalorhiza shawi Light, 1921 in a marine protected area of Hong Kong

Raising Awareness on the Clinical and Forensic Aspects of Jellyfish Stings: A Worldwide Increasing Threat

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