Rhabdomyolysis due to unidentified jellyfish envenomation in west Malaysian waters
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...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-03-01
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| Series: | Toxicon: X |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S259017102300022X |
| _version_ | 1827313657631997952 |
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| author | Jia Shyi Loy Chyi Chyi Khoo Tilagavahti Arumugam Geok Hoon Ngian Ahmad Khaldun Ismail |
| author_facet | Jia Shyi Loy Chyi Chyi Khoo Tilagavahti Arumugam Geok Hoon Ngian Ahmad Khaldun Ismail |
| author_sort | Jia Shyi Loy |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-24T22:19:00Z |
| format | Article |
| id | doaj.art-423173c2e01c4a7c80c4511426f7c721 |
| institution | Directory Open Access Journal |
| issn | 2590-1710 |
| language | English |
| last_indexed | 2024-04-24T22:19:00Z |
| publishDate | 2024-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Toxicon: X |
| spelling | doaj.art-423173c2e01c4a7c80c4511426f7c7212024-03-20T06:11:13ZengElsevierToxicon: X2590-17102024-03-0121100170Rhabdomyolysis due to unidentified jellyfish envenomation in west Malaysian watersJia Shyi Loy0Chyi Chyi Khoo1Tilagavahti Arumugam2Geok Hoon Ngian3Ahmad Khaldun Ismail4Pediatric Department, Sultanah Fatimah Specialist Hospital, Muar, Johore, MalaysiaPediatric Department, Sultanah Fatimah Specialist Hospital, Muar, Johore, MalaysiaPediatric Department, Sultanah Fatimah Specialist Hospital, Muar, Johore, MalaysiaPediatric Department, Sultanah Fatimah Specialist Hospital, Muar, Johore, MalaysiaDepartment of Emergency Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, Bandar Tun Razak, Kuala Lumpur, Malaysia; Hospital Canselor Tuanku Muhriz, Jalan Yaacob Latif, Bandar Tun Razak, Kuala Lumpur, Malaysia; Corresponding author.Department of Emergency Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latiff, Bandar Tun Razak, 56000 Kuala Lumpur, MalaysiaJellyfish 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.http://www.sciencedirect.com/science/article/pii/S259017102300022XClinical toxinologyEmergencyMyotoxicityPediatric envenomation |
| spellingShingle | Jia Shyi Loy Chyi Chyi Khoo Tilagavahti Arumugam Geok Hoon Ngian Ahmad Khaldun Ismail Rhabdomyolysis due to unidentified jellyfish envenomation in west Malaysian waters Toxicon: X Clinical toxinology Emergency Myotoxicity Pediatric envenomation |
| title | Rhabdomyolysis due to unidentified jellyfish envenomation in west Malaysian waters |
| title_full | Rhabdomyolysis due to unidentified jellyfish envenomation in west Malaysian waters |
| title_fullStr | Rhabdomyolysis due to unidentified jellyfish envenomation in west Malaysian waters |
| title_full_unstemmed | Rhabdomyolysis due to unidentified jellyfish envenomation in west Malaysian waters |
| title_short | Rhabdomyolysis due to unidentified jellyfish envenomation in west Malaysian waters |
| title_sort | rhabdomyolysis due to unidentified jellyfish envenomation in west malaysian waters |
| topic | Clinical toxinology Emergency Myotoxicity Pediatric envenomation |
| url | http://www.sciencedirect.com/science/article/pii/S259017102300022X |
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