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The Pharmaceutical
Journal Vol 267 No 7165 p366 |
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Marine menace |
Marine menaceIt can reasonably be argued that the increased sightings of coelenterates reported from some of our coastal waters are one result of global warming. Several acquaintances who are in the habit of rowing in our inshore waters off the South West peninsula have told me they have encountered unprecedented fleets of Portuguese man-of-war (Physalia physalis) and various species of Chrysaora jellyfish. These creatures are best left alone, since their nematocysts, terminating tentacles extending for 15 metres or further, induce serious histaminic reactions. Contact with them produces a stinging and burning sensation, and a severe sting may cause muscular cramps and nausea in an unwary swimmer. Individuals stung by a jellyfish are advised to head for the shore promptly, to minimise the risk of drowning. Local applications, including antihistamines, are not very effective in treatment, although oral or parenteral diphenhydramine may bring relief. A severe life-threatening reaction may call for adrenaline or hydrocortisone therapy. Another menace that has been reported to me is the weever fish (Trachinus), which lurks in sand near the tide-line, with its poisonous dorsal fin projecting into the water. The unwary paddler who steps on this may experience a painful experience. Weever toxin is both neurotoxic and haemotoxic, in some respects resembling a snake venom. Contact with the spine may cause stabbing pain that spreads through the affected limb and reaches its peak within some 30 minutes. The pain may be intense enough to provoke screaming and panic, but diminishes with a period ranging from two to 24 hours to leave some redness and numbness. The most serious hazard of such a sting is possible secondary infection of the wound, so that antiseptic treatment is called for. If feasible, immersion of the foot or hand in very hot water as soon as possible brings relief, and a hot compress containing magnesium sulphate is effective. It is noteworthy that the two Trachinus species met with on British coasts are found mainly in the sand of river estuaries, where there is a high proportion of mud brought down to provide food for the fishes. |
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