Skin lesions in envenoming by cnidarians (Portuguese man-of-war and jellyfish): etiology and severity of accidents on the Brazilian coast
Autor(a) principal: | |
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Data de Publicação: | 2010 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1590/S0036-46652010000100008 http://hdl.handle.net/11449/212423 |
Resumo: | This work attempts to establish dermatological identification patterns for Brazilian cnidarian species and a probable correlation with envenoming severity. In an observational prospective study, one hundred and twenty-eight patients from the North Coast region of São Paulo State, Brazil were seen between 2002 and 2008. About 80% of these showed only local effects (erythema, edema, and pain) with small, less than 20 cm, oval or round skin marks and impressions from small tentacles. Approximately 20% of the victims had long, more than 20 cm, linear and crossed marks with frequent systemic phenomena, such as malaise, vomiting, dyspnea, and tachycardia. The former is compatible with the common hydromedusa from Southeast and Southern Brazil (Olindias sambaquiensis). The long linear marks with intense pain and systemic phenomena are compatible with envenoming by the box jellyfish Tamoya haplonema and Chiropsalmus quadrumanus and the hydrozoan Portuguese man-of-war (Physalis physalis). There was an association between skin marks and probable accident etiology. This simple observation rule can be indicative of severity, as the Cubozoa Class (box jellyfish) and Portuguese man-of-war cause the most severe accidents. In such cases, medical attention, including intensive care, is important, as the systemic manifestations can be associated with death. |
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Skin lesions in envenoming by cnidarians (Portuguese man-of-war and jellyfish): etiology and severity of accidents on the Brazilian coastLesões dermatológicas observadas nos acidentes por cnidários (águas-vivas e caravelas): etiologia e gravidade dos envenenamentos no litoral do BrazilCnidariansBox jellyfishPortuguese man-of-warHuman envenomingSkin marksBrazilThis work attempts to establish dermatological identification patterns for Brazilian cnidarian species and a probable correlation with envenoming severity. In an observational prospective study, one hundred and twenty-eight patients from the North Coast region of São Paulo State, Brazil were seen between 2002 and 2008. About 80% of these showed only local effects (erythema, edema, and pain) with small, less than 20 cm, oval or round skin marks and impressions from small tentacles. Approximately 20% of the victims had long, more than 20 cm, linear and crossed marks with frequent systemic phenomena, such as malaise, vomiting, dyspnea, and tachycardia. The former is compatible with the common hydromedusa from Southeast and Southern Brazil (Olindias sambaquiensis). The long linear marks with intense pain and systemic phenomena are compatible with envenoming by the box jellyfish Tamoya haplonema and Chiropsalmus quadrumanus and the hydrozoan Portuguese man-of-war (Physalis physalis). There was an association between skin marks and probable accident etiology. This simple observation rule can be indicative of severity, as the Cubozoa Class (box jellyfish) and Portuguese man-of-war cause the most severe accidents. In such cases, medical attention, including intensive care, is important, as the systemic manifestations can be associated with death.Cnidários são animais que apresentam no corpo (especialmente nos tentáculos) organelas de defesa chamadas nematocistos, podendo causar graves envenenamentos. Este trabalho procura estabelecer padrões clínicos auxiliares na identificação das espécies de cnidários brasileiros e pesquisar provável correlação das lesões na pele com a gravidade do acidente. Cento e vinte e oito pacientes foram observados no Pronto-Socorro de Ubatuba (Litoral Norte do estado de São Paulo) em período de seis anos (2002-2008). Cerca de 80% dos acidentes mostraram apenas manifestações locais (dor, eritema e edema). Nestes casos, as marcas cutâneas foram pequenas, ovais e arredondadas, algumas vezes com impressões de pequenos tentáculos. As marcas foram menores que 20 cm. Aproximadamente 20% das vítimas tinham lesões longas, lineares e cruzadas, maiores que 20 cm com frequente observação de fenômenos sistêmicos, como mal estar, vômitos, dispnéia e taquicardia. O padrão das marcas arredondadas e curtas é compatível com hidromedusa muito comum nas regiões Sudeste e Sul do Brasil (Olindia sambaquiensis), que causa acidentes de pequena magnitude. As marcas longas e lineares, associadas à dor intensa e fenômenos sistêmicos, são compatíveis com envenenamento pelas cubomedusas Tamoya haplonema e Chiropsalmus quadrumanus e o hidrozoário Physalis physalis, a caravela. Houve associação entre as marcas cutâneas e a provável etiologia do acidente. Esta regra simples de observação clínica pode ter valor clínico, uma vez que a Classe Cubozoa (vespas-do-mar) e as caravelas causam os acidentes mais graves. Nestes casos, a atenção médica deve ser redobrada, incluindo cuidados intensivos, uma vez que fenômenos sistêmicos podem se associar a óbitos.Universidade de São Paulo, Institute of BiosciencesUniversidade Estadual Paulista, Botucatu School of MedicineUniversidade de São Paulo, Marine Biology CenterUniversidade Estadual Paulista, Botucatu School of MedicineInstituto de Medicina TropicalUniversidade de São Paulo (USP)Universidade Estadual Paulista (Unesp)Haddad Junior, Vidal [UNESP]Silveira, Fábio Lang DaMigotto, Álvaro Esteves2021-07-14T10:39:47Z2021-07-14T10:39:47Z2010-02info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article47-50application/pdfhttp://dx.doi.org/10.1590/S0036-46652010000100008Revista do Instituto de Medicina Tropical de São Paulo. São Paulo, SP, Brazil: Instituto de Medicina Tropical, v. 52, n. 1, p. 47-50, 2010.1678-9946http://hdl.handle.net/11449/21242310.1590/S0036-46652010000100008S0036-46652010000100008S0036-46652010000100008.pdfSciELOreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengRevista do Instituto de Medicina Tropical de São Pauloinfo:eu-repo/semantics/openAccess2024-01-04T06:27:06Zoai:repositorio.unesp.br:11449/212423Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-01-04T06:27:06Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Skin lesions in envenoming by cnidarians (Portuguese man-of-war and jellyfish): etiology and severity of accidents on the Brazilian coast Lesões dermatológicas observadas nos acidentes por cnidários (águas-vivas e caravelas): etiologia e gravidade dos envenenamentos no litoral do Brazil |
title |
Skin lesions in envenoming by cnidarians (Portuguese man-of-war and jellyfish): etiology and severity of accidents on the Brazilian coast |
spellingShingle |
Skin lesions in envenoming by cnidarians (Portuguese man-of-war and jellyfish): etiology and severity of accidents on the Brazilian coast Haddad Junior, Vidal [UNESP] Cnidarians Box jellyfish Portuguese man-of-war Human envenoming Skin marks Brazil |
title_short |
Skin lesions in envenoming by cnidarians (Portuguese man-of-war and jellyfish): etiology and severity of accidents on the Brazilian coast |
title_full |
Skin lesions in envenoming by cnidarians (Portuguese man-of-war and jellyfish): etiology and severity of accidents on the Brazilian coast |
title_fullStr |
Skin lesions in envenoming by cnidarians (Portuguese man-of-war and jellyfish): etiology and severity of accidents on the Brazilian coast |
title_full_unstemmed |
Skin lesions in envenoming by cnidarians (Portuguese man-of-war and jellyfish): etiology and severity of accidents on the Brazilian coast |
title_sort |
Skin lesions in envenoming by cnidarians (Portuguese man-of-war and jellyfish): etiology and severity of accidents on the Brazilian coast |
author |
Haddad Junior, Vidal [UNESP] |
author_facet |
Haddad Junior, Vidal [UNESP] Silveira, Fábio Lang Da Migotto, Álvaro Esteves |
author_role |
author |
author2 |
Silveira, Fábio Lang Da Migotto, Álvaro Esteves |
author2_role |
author author |
dc.contributor.none.fl_str_mv |
Universidade de São Paulo (USP) Universidade Estadual Paulista (Unesp) |
dc.contributor.author.fl_str_mv |
Haddad Junior, Vidal [UNESP] Silveira, Fábio Lang Da Migotto, Álvaro Esteves |
dc.subject.por.fl_str_mv |
Cnidarians Box jellyfish Portuguese man-of-war Human envenoming Skin marks Brazil |
topic |
Cnidarians Box jellyfish Portuguese man-of-war Human envenoming Skin marks Brazil |
description |
This work attempts to establish dermatological identification patterns for Brazilian cnidarian species and a probable correlation with envenoming severity. In an observational prospective study, one hundred and twenty-eight patients from the North Coast region of São Paulo State, Brazil were seen between 2002 and 2008. About 80% of these showed only local effects (erythema, edema, and pain) with small, less than 20 cm, oval or round skin marks and impressions from small tentacles. Approximately 20% of the victims had long, more than 20 cm, linear and crossed marks with frequent systemic phenomena, such as malaise, vomiting, dyspnea, and tachycardia. The former is compatible with the common hydromedusa from Southeast and Southern Brazil (Olindias sambaquiensis). The long linear marks with intense pain and systemic phenomena are compatible with envenoming by the box jellyfish Tamoya haplonema and Chiropsalmus quadrumanus and the hydrozoan Portuguese man-of-war (Physalis physalis). There was an association between skin marks and probable accident etiology. This simple observation rule can be indicative of severity, as the Cubozoa Class (box jellyfish) and Portuguese man-of-war cause the most severe accidents. In such cases, medical attention, including intensive care, is important, as the systemic manifestations can be associated with death. |
publishDate |
2010 |
dc.date.none.fl_str_mv |
2010-02 2021-07-14T10:39:47Z 2021-07-14T10:39:47Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1590/S0036-46652010000100008 Revista do Instituto de Medicina Tropical de São Paulo. São Paulo, SP, Brazil: Instituto de Medicina Tropical, v. 52, n. 1, p. 47-50, 2010. 1678-9946 http://hdl.handle.net/11449/212423 10.1590/S0036-46652010000100008 S0036-46652010000100008 S0036-46652010000100008.pdf |
url |
http://dx.doi.org/10.1590/S0036-46652010000100008 http://hdl.handle.net/11449/212423 |
identifier_str_mv |
Revista do Instituto de Medicina Tropical de São Paulo. São Paulo, SP, Brazil: Instituto de Medicina Tropical, v. 52, n. 1, p. 47-50, 2010. 1678-9946 10.1590/S0036-46652010000100008 S0036-46652010000100008 S0036-46652010000100008.pdf |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Revista do Instituto de Medicina Tropical de São Paulo |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
47-50 application/pdf |
dc.publisher.none.fl_str_mv |
Instituto de Medicina Tropical |
publisher.none.fl_str_mv |
Instituto de Medicina Tropical |
dc.source.none.fl_str_mv |
SciELO reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1797790201430409216 |