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Case Report
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| A case of immediate and delayed reactions after contact with a venomous mauve-stinger jellyfish in a diabetic patient | ||||||
| Laidon Shapo1, Lance Saker2 | ||||||
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1MD, MScPH, Public Health Strategist, Public Health for Camden and Islington, Camden Old Town Hall, Judd Street, London, WC1H 8NJ, United Kingdom.
2MBChB, FFPH, GP, Hampstead Group Practice and Camden CCG Consultant in Public Health, Camden Clinical Commissioning Group Stephenson House, 75 Hampstead Road, London, NW1 2PL, United Kingdom. | ||||||
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| How to cite this article: |
| Shapo L, Saker L. A case of immediate and delayed reactions after contact with a venomous mauve-stinger jellyfish in a diabetic patient. International Journal of Case Reports and Images 2013;4(7):388–391. |
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Abstract
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Introduction:
A contact with the venoms produced by a pelagic jellyfish type, known as Pelagia noctiluca, can induce both local and general symptoms. We report here a case of jellyfish envenomation with a mauve-stinger in a diabetic patient who developed localized skin involvement, delayed systemic reaction and hyperglycemia. To our knowledge this is the first report of this kind in literature.
Case Report: The patient, an adult male tourist with type I diabetes, was stung on the forehead by a mauve-stinger jellyfish while swimming on the Maltese coast in summer 2012. Local symptoms were initially of an erythematous, edematous and a vesicular topical lesion in the forehead region, followed by massive eye swelling 72 hours after the incident. In addition, his normally well-controlled diabetes was affected, with an unusual severe episode of hyperglycemia that did not respond readily to alterations in his insulin regime. Conclusion: Pelagia noctiluca is a jellyfish known for its strong cytotoxic properties. We hypothesize that the stress response, following the jellyfish attack could have triggered a metabolic response and the consequences seen in this person with diabetes. The reaction described suggests that people with diabetes stung by P. noctiluca should monitor their glucose levels closely and in some cases seek treatment with more specialized endocrinology services. | |
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Keywords:
Jellyfish, Diabetes, Hyperglycemia
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Author Contributions
Laidon Shapo – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Lance Saker – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© Laidon Shapo et al. 2013; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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