Auerbach P S, Hays J T
Vanderbilt University Hospital, Nashville, Tennessee.
J Emerg Med. 1987 Nov-Dec;5(6):487-91. doi: 10.1016/0736-4679(87)90211-3.
At least 100 of the approximately 9,000 species of coelenterates are dangerous to humans. The most common syndrome following an envenomation is an immediate intense dermatitis, with characteristic skin discoloration, local pain, and systemic symptoms. In this case report, we describe a case of erythema nodosum with articular manifestations following envenomation with an unknown jellyfish. Serological testing of the victim revealed marked elevation of immunoglobulins G and M directed against Physalia physalis, the Portuguese man-of-war. The patient's condition did not respond to conventional topical therapy for coelenterate envenomation, but was successfully managed with systemic corticosteroid therapy. This case demonstrates that the emergency physician should consider a delayed reaction to a marine envenomation in any victim who presents with an acute dermatological disease following immersion in marine coastal waters.
在大约9000种腔肠动物中，至少有100种对人类是危险的。被蜇伤后最常见的症状是立即出现强烈的皮炎，伴有特征性的皮肤变色、局部疼痛和全身症状。在本病例报告中，我们描述了一例被不明水母蜇伤后出现伴有关节表现的结节性红斑病例。对受害者的血清学检测显示，针对僧帽水母的免疫球蛋白G和M显著升高。患者的病情对腔肠动物蜇伤的传统局部治疗无反应，但通过全身皮质类固醇治疗成功治愈。该病例表明，对于任何在沿海海水浸泡后出现急性皮肤病的受害者，急诊医生都应考虑海洋蜇伤的延迟反应。
