Pereira João Claudio Campos, Szpilman David, Haddad Junior Vidal
Faculdade de Medicina, Faculdades Pequeno Príncipe, Curitiba, PR, Brasil.
Diretoria Médica, Sociedade Brasileira de Salvamento Aquático, Rio de Janeiro, RJ, Brasil.
Rev Soc Bras Med Trop. 2018 Jan-Feb;51(1):115-117. doi: 10.1590/0037-8682-0044-2017.
The most frequent jellyfish in Southern Brazil causes mainly local pain and skin plaques. A 3-year-old female bather presented an erythematous, irregular plaque on the left forearm after contact with a jellyfish and intense facial angioedema with facial flushing. The lungs had vesicular murmur, wheezes, and snorts, and pink and spumous secretion in the airways with intercostal retraction. She was administered subcutaneous adrenaline (0.1mg/kg) and hydrocortisone intravenous (10mg/kg) with total recovery in a few minutes. The manifestations of anaphylactic reactions are distinct from those of envenomations, and prompt and adequate care is fundamental in these situations.
巴西南部最常见的水母主要引起局部疼痛和皮肤斑块。一名3岁女性游泳者在接触水母后，左前臂出现红斑、不规则斑块，面部出现强烈的血管性水肿和面部潮红。肺部有水泡音、喘息声和鼻息声，气道中有粉红色泡沫状分泌物，伴有肋间凹陷。她接受了皮下注射肾上腺素（0.1mg/kg）和静脉注射氢化可的松（10mg/kg）治疗，几分钟后完全康复。过敏反应的表现与中毒不同，在这些情况下迅速而充分的护理至关重要。
