Nematocysts: Difference between revisions

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==Treatment==
==Treatment==
* Immerse in 5% acetic acid to inactivate nematocysts
*Immerse in 5% acetic acid to inactivate nematocysts
*Alternatives
*Alternatives
** Immersion in rubbing alcohol (isopropyl 40%)
**Immersion in rubbing alcohol (isopropyl 40%)
**Acidic drinks such as flavored sodas and fruit juices may be helpful
**Acidic drinks such as flavored sodas and fruit juices may be helpful
**Baking soda
**Baking soda

Revision as of 11:31, 6 July 2016

Mechanism

  • Jellyfish; Box Jelly is most deadly
  • Most toxic: Australia and other Indo-Pacific waters
Nematocyst stages of discharge
  • Physical contact or osmotic gradient causes discharge of neamtocysts
  • A spring loaded venom delivery system

Clinical Presentation

  • Isolated stinging
  • Severe
    • Respiratory paralysis, cardiovascular collapse, and death

Differential Diagnosis

Marine toxins, envenomations, and bites

Treatment

  • Immerse in 5% acetic acid to inactivate nematocysts
  • Alternatives
    • Immersion in rubbing alcohol (isopropyl 40%)
    • Acidic drinks such as flavored sodas and fruit juices may be helpful
    • Baking soda
  • Avoid fresh or tap water since it causes nematocyst discharge via the osmotic gradient
  • Antivenom is available for severe box-jellyfish sting

See Also