PDF(Pubmed)
Abstract：
Jellyfish envenomation is a common problem in coastal areas all over the world; usually symptoms are self-limited with no long-lasting complications. Despite that, some jellyfish species, mainly populating the Indian Ocean, are renown to be potentially lethal and in some cases may cause severe myopathy. We report the first case of rhabdomyolysis following a jellyfish sting in the Mediterranean Sea. A 17-year-old patient was admitted to the intensive care unit of our hospital in life-threatening conditions. He was dyspnoeic and dysphagic with pain and functional impairment of upper and lower limbs. The evidence of a red mark in his face and the clinical presentation, coupled with the diagnostic test performed, allowed the diagnosis of toxidrome from jellyfish venom. Treatment with hydration, ventilatory support and steroids led to a progressive improvement of patient conditions. Our case report stresses the importance of prompt identification and treatment of potential rhabdomyolysis determined by jellyfish and rises awareness on the presence of such venomous species in the Mediterranean Sea.
摘要：
水母毒害是世界各地沿海地区的常见问题;通常症状是自限性的，没有长期的并发症。尽管如此,一些水母物种，主要分布在印度洋，被认为是潜在致命的，在某些情况下可能会导致严重的肌病。我们报告了地中海水母叮咬后的首例横纹肌溶解症。一名17岁的患者在危及生命的情况下被送往我们医院的重症监护室。他呼吸困难，吞咽困难，上肢和下肢疼痛和功能障碍。他脸上有红色标记的证据和临床表现，加上执行的诊断测试，允许从水母毒液中诊断毒物。水化处理,通气支持和类固醇导致患者病情的逐步改善。我们的病例报告强调了迅速识别和治疗由水母确定的潜在横纹肌溶解症的重要性，并提高了人们对地中海中此类有毒物种存在的认识。
