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Physalia Physalis Poisoning

Poison Portuguese Man of War


Presentation

  • Combining the four specialties of toxicology—analytical, medical, environmental, and industrial—into one comprehensive atlas, the book presents photographs and diagrams of toxic plants and animals, their mechanisms of poisoning or envenoming, and the[books.google.com]
  • Make the most of your limited time with easy-to-digest blocks of information, consistently presented for clear readability and quick reference.[books.google.de]
  • Portuguese man of war ( Physalia physalis ) (Picture from Madrimasd ) Olindias phosphorica Olindias phosphorica is a jellyfish with a yellow and pink-blue umbrella, that present several channels towards the centre.[allyouneedisbiology.wordpress.com]
  • Antibiotics are indicated only if evidence of infection is present.[aafp.org]
  • With a sting 10 times stronger than an ordinary jellyfish, they present a more dangerous threat than the annual jellyfish invasion of beaches in Spain, France, Italy and North Africa.[telegraph.co.uk]
Fever
  • Covers emerging hot topics such as Ebola virus disease, viral hemorrhagic fevers, the role of point-of-care testing in travel medicine, and antibiotic-resistant bacteria in returning travelers and students traveling abroad.[books.google.com]
  • The sting of Physalia is very painful to humans and can cause serious effects, including fever, shock, and interference with heart and lung action.[britannica.com]
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  • The Sting Though rarely deadly, a Bluebottle sting can be dangerous to children, elderly people, asthmatics and people with allergies as it can cause fever, shock and respiratory distress.[sites.google.com]
  • They can cause extreme pain, fever, burns to the skin and neurological shock. Due to their dangerous nature, the Spanish Coastguard keeps watch for them and reports are issued on the local TV, radio and newspapers if they approach the coast.[holidays-majorca.co.uk]
Rigor
  • The clinical picture is characterised by nausea, vomiting, diarrhoea, abdominal pain and rigors. Spontaneous recovery usually occurs within 3 days, irrespective of medical treatment.[academic.sun.ac.za]
Veterinarian
  • Sample protocols facilitate professional communication between veterinarians, human health clinicians, and public health professionals. Legal and ethical aspects of "One Health" that human health providers and veterinarians need to know.[books.google.com]
Nausea
  • More sensitive individuals may experience nausea and vomiting. A serious danger is cramps, which may lead to drowning if the water is deep.[poisonousnature.biodiversityexhibition.com]
  • This is followed by red welts and inflammation together with nausea and dizziness. People who are hypersensitive may experience low blood pressure, breathing difficulties and develop an allergic reaction.[dailymirror.lk]
  • Abdominal pain Changes in pulse Chest pain Collapse Headache Muscle pain and muscle spasms Numbness and weakness Pain in the arms or legs Raised red spot where stung Runny nose and watery eyes Swallowing difficulty Sweating Sea wasp: Breathing difficulty Nausea[dxline.info]
  • The clinical picture is characterised by nausea, vomiting, diarrhoea, abdominal pain and rigors. Spontaneous recovery usually occurs within 3 days, irrespective of medical treatment.[academic.sun.ac.za]
  • With extensive or repeated exposures systemic reactions can take place, such as; nausea, vomiting, headaches, dizziness (vertigo), muscle weakness and irregular heart rate (arrhythmias) may occur.[seasiderentalsonline.com]
Vomiting
  • More sensitive individuals may experience nausea and vomiting. A serious danger is cramps, which may lead to drowning if the water is deep.[poisonousnature.biodiversityexhibition.com]
  • . -- (Toxicodendron Radicans) Aconitum species are highly toxic cardiotoxins and neurotoxins. nausea, vomiting, and diarrhea.[quizlet.com]
  • Changes in pulse Chest pain Collapse Headache Muscle pain and muscle spasms Numbness and weakness Pain in the arms or legs Raised red spot where stung Runny nose and watery eyes Swallowing difficulty Sweating Sea wasp: Breathing difficulty Nausea and vomiting[dxline.info]
  • Other clinical features, in order of frequency, include: palpitations, throbbing headache, abdominal cramps, with occasional vomiting.[academic.sun.ac.za]
  • With extensive or repeated exposures systemic reactions can take place, such as; nausea, vomiting, headaches, dizziness (vertigo), muscle weakness and irregular heart rate (arrhythmias) may occur.[seasiderentalsonline.com]
Abdominal Pain
  • Seek medical attention right away for any breathing difficulties, chest or abdominal pains, or profuse sweating.[account.allinahealth.org]
  • Seek medical attention right away for any breathing difficulties, chest or abdominal pains, or profuse sweating. Otten EJ. Venomous animal injuries. In: Walls RM, Hockberger RS, Gausche-Hill M, eds.[medlineplus.gov]
  • Symptoms Portuguese man-of-war: Abdominal pain Changes in pulse Chest pain Collapse Headache Muscle pain and muscle spasms Numbness and weakness Pain in the arms or legs Raised red spot where stung Runny nose and watery eyes Swallowing difficulty Sweating[dxline.info]
  • . -- (Arum maculatum) All parts of the plant is poisonous, and if ingested, someone could experience abdominal pain, vomiting, reduced heart rate, blurred vision, drowsiness, and red skin rashes. -- (Convallaria majalis) The _____ is related to the poison[quizlet.com]
  • pain (mimicking acute abdomen), or head/neck pain (contorted facies latrodectisma) Hypertension Nausea Muscle spasms Untreated bites may result in leg pain and can be associated with profuse lower limb sweating (even with bites to the upper extremities[aafp.org]
Abdominal Cramps
  • Other clinical features, in order of frequency, include: palpitations, throbbing headache, abdominal cramps, with occasional vomiting.[academic.sun.ac.za]
Chest Pain
  • Get medical attention right away if pain increases or there are any signs of breathing difficulty or chest pains. As soon as possible, rinse the sting site with large amounts of household vinegar for at least 30 seconds.[account.allinahealth.org]
  • Symptoms Portuguese man-of-war: Abdominal pain Changes in pulse Chest pain Collapse Headache Muscle pain and muscle spasms Numbness and weakness Pain in the arms or legs Raised red spot where stung Runny nose and watery eyes Swallowing difficulty Sweating[dxline.info]
  • Other symptoms like, excessive tearing, runny nose and painful breathing (pleuritic chest pain) In rare cases, a jellyfish sting may induce anaphylactic shock and require hospitalization Treatment of Skin injuries from Jellyfish First remove any adherent[seasiderentalsonline.com]
  • pain (mimicking angina), abdominal pain (mimicking acute abdomen), or head/neck pain (contorted facies latrodectisma) Hypertension Nausea Muscle spasms Untreated bites may result in leg pain and can be associated with profuse lower limb sweating (even[aafp.org]
Flushing
  • Most patients experience a hot, blotchy flushing of the skin, resembling an ethanol flush or severe sunburn, with well demarcated borders, especially of the face, neck and upper chest. Pruritus is an infrequent feature.[academic.sun.ac.za]
  • ., flushing, tachycardia, abdominal colic, or diarrhea) develop within a few minutes after a sting. If left untreated, this can progress into hypotension, coma, and death [ 35 ]. Clinical management .[academic.oup.com]
  • flush deck vessel with forecastle and poop: 船首尾楼付平甲板船 [参考]flush deck vessel with forecastle: 船首楼付平甲板船. /long poop: n.長船尾楼[船尾楼が船の中央方向に延されて船橋楼と連結された船楼]. /long poop deck: n.長船尾楼甲板(ちょうせんびろうこうはん). /pooped: adj.船尾楼をもつ; [波が]船尾に崩れかかる、船尾にかぶさる.[oceandictionary.jp]
Pruritus
  • Pruritus is an infrequent feature. Gastrointestinal symptoms and signs, such as diarrhoea, are also prominent. A diarrhoea, often watery, usually appears within 6 hours.[academic.sun.ac.za]
  • […] upper extremities) Pulmonary edema and generalized paralysis are rare Untreated major systemic envenomation can cause serious symptoms over two to five days, and up to weeks Arizona bark scorpion: Burning pain (often severe) lasting minutes to days Pruritus[aafp.org]
  • Regression and constancy of the blisters and pruritus may take as long as 10 days; although, mild hyperchromia and slight roughness in skin pattern may still be noticed for as long as eight months after the sting.[omicsonline.org]
Urticaria
  • The lesions can last for minutes to hours, and the rash may progress to urticaria, hemorrhage, or ulceration. Recurrent episodes of urticaria may last four to six weeks at the site of envenomation.[loststory.net]
Muscle Cramp
  • cramps Skin burning and blistering (severe) Sea nettle Mild skin rash (with mild stings) Muscle cramps and breathing difficulty (with extensive contact) Home Care Seek immediate medical attention.[dxline.info]
  • Chills Collapse Headache Muscle pain and muscle spasms Numbness and weakness Pain in the arms or legs Raised red spot where stung Runny nose and watery eyes Swallowing difficulty Sweating SEA NETTLE Mild skin rash (with mild stings) Muscle cramps and[account.allinahealth.org]
  • […] spasms Numbness and weakness Pain in the arms or legs Raised red spot where stung Runny nose and watery eyes Swallowing difficulty Sweating SEA NETTLE Mild skin rash (with mild stings) Muscle cramps and breathing difficulty (from a lot of contact) SEA[medlineplus.gov]
  • Some victims also suffer systemic manifestations including weakness, headache, nausea & vomiting, muscle cramps & pain, lacrimation & nasal discharge, increased perspiration, tachycardia, diarrhea, convulsions and breathing problems.[staff.um.edu.mt]
  • It has 16 long tentacles that can cause pain, burning, nausea and muscle cramps. They are not very common in Majorca, but if seen do not touch![holidays-majorca.co.uk]
Myalgia
  • Symptoms (duration 2-3 days) Local burning pain Paresthesia s Systemic symptoms occur in severe Envenomation Nausea or Vomiting Headache Myalgias Ataxia or Dizziness VI.[fpnotebook.com]
Headache
  • […] difficulty (from a lot of contact) SEA WASP OR BOX JELLYFISH Severe burning pain and sting site blistering Raised red spot where stung Skin tissue death Breathing difficulty Sweating Nausea and vomiting Abdominal pain Changes in pulse Chest pain Collapse Headache[account.allinahealth.org]
  • Symptoms of stings from different types of jellyfish are: LION'S MANE Breathing difficulty Muscle cramps Skin burning and blistering (severe) PORTUGUESE MAN-OF-WAR Abdominal pain Changes in pulse Chest pain Chills Collapse Headache Muscle pain and muscle[medlineplus.gov]
  • Symptoms Portuguese man-of-war: Abdominal pain Changes in pulse Chest pain Collapse Headache Muscle pain and muscle spasms Numbness and weakness Pain in the arms or legs Raised red spot where stung Runny nose and watery eyes Swallowing difficulty Sweating[dxline.info]
  • With extensive or repeated exposures systemic reactions can take place, such as; nausea, vomiting, headaches, dizziness (vertigo), muscle weakness and irregular heart rate (arrhythmias) may occur.[seasiderentalsonline.com]
  • Some victims also suffer systemic manifestations including weakness, headache, nausea & vomiting, muscle cramps & pain, lacrimation & nasal discharge, increased perspiration, tachycardia, diarrhea, convulsions and breathing problems.[staff.um.edu.mt]
Ataxia
  • Symptoms (duration 2-3 days) Local burning pain Paresthesia s Systemic symptoms occur in severe Envenomation Nausea or Vomiting Headache Myalgias Ataxia or Dizziness VI.[fpnotebook.com]

Workup

Treatment

  • Get clear, concise descriptions and evidence-based treatment guidelines for a full range of clinical conditions, ranging from the common to the unusual.[books.google.de]
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  • Evidence-based treatment recommendations enable you to manage diseases confidently. Pocket-sized format provides access to need-to-know information quickly and easily. Highlights new evidence and content surrounding mental health and traveling.[books.google.com]
  • They conclude: . . . current treatments for jellyfish envenomations demonstrate variable response, with conflicting results between studies and species. A treatment beneficial for one species may in fact worsen an envenomation from another.[thepoisonreview.com]
  • Other Treatments - vinegar Diving medics often advocate its use to denaturise the venom produced by the Bluebottle.[sites.google.com]

Prognosis

  • The patient may receive: Antivenin (for sea wasp stings) Breathing assistance Fluids through a vein (by IV) Outlook (Prognosis) Portuguese man-of-war and sea nettle stings are rarely deadly. Sea wasp stings can be deadly in minutes.[dxline.info]
  • Outlook (Prognosis) Most jellyfish stings improve within hours, but some stings can lead to skin irritation or rashes that last for weeks. Contact your provider if you continue to have itching at the sting site.[account.allinahealth.org]

Etiology

  • The diagnosis of brown recluse spider bite is overused for dermonecrotic wounds of uncertain etiology. Ann Emerg Med . 2002:39(5):544–546. 21. Diaz JH, Leblanc KE. Common spider bites. Am Fam Physician . 2007:75(6):869–873. 22. Norris R.[aafp.org]

Epidemiology

  • […] design and statistical analysis of toxicological investigations The book is conveniently divided into four sections covering general medical toxicology, environmental toxicology, industrial and occupational toxicology, and epidemiology and statistics[books.google.com]
  • Epidemiology Cnidaria responsible for most Marine Envenomation s IV. Pathophysiology Nematocysts on tentacles responsible for stinging Nematocysts may sting even if tentacle detached V.[fpnotebook.com]
  • Sources of Information Our detailed, regularly updated database of the biology, epidemiology, prevention, first aid, and supportive and specific antivenom treatment of animal envenoming and poisoning formed the basis of this review.[academic.oup.com]
  • Weekly Epidemiological Record: WHO, Geneva, Switzerland 2001; 38 : 290-298. 7. Exton DR. Treatment of Physalia physalis envenomations. Med J Aust 1988; 149 : 54. 8. Burnett JW, Calton GJ.[academic.sun.ac.za]
  • Epidemiology Snakes are responsible for most envenomations.[aafp.org]
Sex distribution
Age distribution

Pathophysiology

  • Pathophysiology Nematocysts on tentacles responsible for stinging Nematocysts may sting even if tentacle detached V.[fpnotebook.com]
  • Cubozoan envenomations: clinical features, pathophysiology and management. In: Goffredo S, Dubinsky EZ, eds. The Cnidaria, Past, Present and Future: The World of Medusa and Her Sisters . Switzerland. Springer; 2016:637-652. Updated by: Jacob L.[medlineplus.gov]
  • (The pathophysiology of sting induced urticaria is that it occurs following release of histamine, bradykinin, kallikrein or acetylcholine resulting in intradermal edema from capillary and venous vasodilation and occasional leukocyte infiltration.)[loststory.net]
  • Lyon AR, Rees PS, Prasad S, Poole-Wilson PA, Harding SE (2008) Stress (takotsubo) cardiomyopathy--a novel pathophysiological hypothesis to explain catecholamine-induced acute myocardial stunning. Nat Clin Pract Cardiovasc Med 5: 22-29.[omicsonline.org]

Prevention

  • Occupational health guidelines for preventive care of animal workers including veterinary personnel, farmers, pet store employees, and zoo workers.[books.google.com]
  • Pineapple Press Inc , 2006 - 99 من الصفحات Dangerous Sea Life of the West Atlantic, Caribbean, and Gulf of Mexico is a guide for accident prevention and first aid.[books.google.com]
  • Prevent, evaluate, and manage diseases that can be acquired in tropical environments and foreign countries with The Travel and Tropical Medicine Manual.[books.google.com]
  • Prevention and first aid . Careful observation of the bottom of shallow waters, swimming (instead of wading), and avoiding free-swimming venomous fish are the most important preventive measures.[academic.oup.com]
  • They suggest that treatment of these stings should pursue two distinct goals: 1) preventing venom-induced pain and tissue damage, and 2) preventing further activation of nematocysts.[thepoisonreview.com]

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