Matusow R J
J Am Dent Assoc. 1980 Jan;100(1):73-5. doi: 10.14219/jada.archive.1980.0022.
A careful history was taken in an attempt to document an unusual delayed inflammatory reaction involving the ears and oral cavity. Severe oral and auricular inflammations have been described as apparent reactions to stings on the patient's foot by a Portuguese man-of-war (P physalia). Toxin was injected into the right foot and resulted in a delayed type of severe swellings and inflammation. The soft palate, cheek, periodontal tissues, and lower lip were primarily involved. Oral inflammations coincided with massive, acute, inflammatory lesions behind the ears. Delayed oral and ear inflammations suggest an unusual reaction to the toxin of the sting of P physalia; it was possibly hypersensitive in nature. The described pathology seems unique to medical reports concerning the Portuguese man-of-war. The foot responded rapidly to topical application of ammonia solution. Antibiotic therapy taken orally apparently helped resolve the oral and ear lesions in approximately 11 days.
详细询问了病史，试图记录涉及耳朵和口腔的异常迟发性炎症反应。严重的口腔和耳部炎症被描述为患者足部被僧帽水母蜇伤后的明显反应。毒素注入右脚后，引发了迟发型严重肿胀和炎症。软腭、脸颊、牙周组织和下唇是主要受累部位。口腔炎症与耳部后方的大量急性炎症性病变同时出现。口腔和耳部的迟发性炎症表明对僧帽水母蜇伤毒素有异常反应；这种反应可能本质上是过敏反应。所描述的病理情况在关于僧帽水母的医学报告中似乎是独一无二的。足部对局部应用氨溶液反应迅速。口服抗生素治疗显然有助于在大约11天内消除口腔和耳部病变。
