Rhabdomyolysis due to unidentified jellyfish envenomation in west Malaysian waters

IF 3.6 Q2 TOXICOLOGY
Jia Shyi Loy , Chyi Chyi Khoo , Tilagavahti Arumugam , Geok Hoon Ngian , Ahmad Khaldun Ismail
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引用次数: 0

Abstract

Jellyfish envenomation is a common marine injury. We report a case of a 9-year-old boy who developed muscle weakness and rhabdomyolysis after a jellyfish sting. He was stung on the face, hands, and feet. He sustained immediate pain and numbness; however no immediate action was taken. He was taken to a primary health clinic and discharged with syrup Paracetamol 15mg/kg/dose and syrup Chlorpheniramine maleate 0.1mg/kg/dose for symptomatic relief. Over the next several days, the pain became generalized involving upper and lower limbs, aggravated by movement, and not alleviated by analgesia nor antihistamine. His condition worsened with the development of weakness of upper and lower limbs and ‘tea-colored’ urine from day 3 of illness. He received treatment for rhabdomyolysis at a district hospital. Maintaining hydration and urine output and symptomatic relief are central to treatment. His muscle pain and weakness improved. He was discharged well and remained asymptomatic at follow up.

西马来西亚水域不明水母中毒导致横纹肌溶解
水母中毒是一种常见的海洋损伤。我们报告了一例9岁男孩在水母蜇伤后出现肌无力和横纹肌溶解症的病例。他的脸、手和脚都被刺痛了。他立即感到疼痛和麻木;但没有立即采取行动。他被送往初级卫生诊所,出院时服用对乙酰氨基酚15mg/kg/剂糖浆和马来酸氯苯那敏0.1mg/kg/剂,以缓解症状。在接下来的几天里,疼痛变得普遍,包括上肢和下肢,因运动而加剧,但镇痛和抗组胺药都没有缓解。从患病第3天起,他的病情随着上下肢无力和“茶色”尿液的发展而恶化。他在一家地区医院接受了横纹肌溶解症的治疗。保持水合作用和尿量以及症状缓解是治疗的核心。他的肌肉疼痛和虚弱有所好转。他出院后情况良好,随访时仍无症状。
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来源期刊
Toxicon: X
Toxicon: X Pharmacology, Toxicology and Pharmaceutics-Toxicology
CiteScore
6.50
自引率
0.00%
发文量
33
审稿时长
14 weeks
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