Document Detail


Severe cardiac failure associated with presumed jellyfish sting. Irukandji syndrome?
MedLine Citation:
PMID:  14719425     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We present a retrospective review of twelve cases of Irukandji syndrome associated with pulmonary oedema. This is a life-threatening envenoming due to a presumed jellyfish sting throughout Northern Australia, although only one case occurred outside North Queensland. Patients presented with significant and ongoing pain, tachycardia and hypertension. Half the patients became hypotensive requiring inotropic support. Cardiac echocardiography revealed significant cardiac dysfunction. Six patients required ventilatory support. There was no death reported due to pulmonary oedema, but one patient died of intracerebral haemorrhage. We believe patients may develop a toxin associated cardiomyopathy, and jellyfish other than Carukia barnesi may be responsible. As there is confusion with nomenclature, Carukia barnesi should be known as the Barnes jellyfish, and the diagnosis of cardiotoxic marine envenoming is suggested for any patient who has been stung by a jellyfish, develops no or minimal skin markings, and develops cardiogenic pulmonary oedema associated with Irukandji syndrome.
Authors:
M Little; P Pereira; R Mulcahy; P Cullen; T Carrette; J Seymour
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Anaesthesia and intensive care     Volume:  31     ISSN:  0310-057X     ISO Abbreviation:  Anaesth Intensive Care     Publication Date:  2003 Dec 
Date Detail:
Created Date:  2004-01-14     Completed Date:  2004-04-13     Revised Date:  2006-08-28    
Medline Journal Info:
Nlm Unique ID:  0342017     Medline TA:  Anaesth Intensive Care     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  642-7     Citation Subset:  IM    
Affiliation:
Department of Emergency Medicine, Sir Charles Gairdner Hospital, Perth, Western Australia.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Animals
Australia
Bites and Stings / complications*,  drug therapy,  physiopathology
Child
Cnidarian Venoms / poisoning*
Female
Humans
Male
Middle Aged
Myocardial Infarction / etiology*
Retrospective Studies
Scyphozoa*
Chemical
Reg. No./Substance:
0/Cnidarian Venoms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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