Seabather's eruption

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Seabather's eruption Seabathers eruption.jpg
Seabather's eruption

Seabather's eruption is an itching dermatitis [1] caused by a hypersensitivity reaction to the immature nematocysts of larval-stage thimble jellyfish (Linuche unguiculata), sea anemones ( Edwardsiella lineata ) and other larval cnidarians. [2] The eruption is sometimes attributed to "sea lice" or "sea ants", but sea lice (Caligidae) are crustacean parasites of fish only. [3] [4]

Contents

It should not be confused with swimmer's itch. [5]

Symptoms and signs

Symptoms generally arise later after showering. It is unusual to notice the eruptions immediately. Symptoms can last from a few days up to, exceptionally, two weeks.[ citation needed ]

The reaction is identified by severe itching around small red papules 1mm to 1.5 cm in size on areas of skin that were covered by water-permeable clothing or hair during ocean swimming. Initial swimmer exposure to the free-floating larvae produces no effects, as each organism possesses only a single undeveloped nematocyst which is inactive while suspended in seawater. However, due to their microscopic size and sticky bodies, large concentrations of larvae can become trapped in minute gaps between skin and clothing or hair. Once the swimmer leaves the ocean, the organisms stuck against the skin die, and automatically discharge their nematocysts when crushed, dried out, or exposed to freshwater. This is why symptoms usually do not appear until the swimmer dries, or takes a freshwater shower, without removing the affected clothing.[ citation needed ]

Treatment

Treatment is symptomatic, [6] with most affected using a topical anti-itch cream (diphenhydramine) and a cortisone solution (hydrocortisone).[ citation needed ]

Incidence

Seabather's eruption is common throughout the range of Linuche unguiculata in the Caribbean, Florida, Mexico, and Gulf States. [7] Cases were first identified in Brazil in 2001. [7] The closely related Linuche aquila , found anywhere between Malaysia, the Philippines and the east coast of Africa, is also known to cause the condition. [8]

Swimmers in Queensland, Australia, have reported seabather's eruption during the summer months of the year. [9] Swimmers at the east-coast beaches of Auckland and the rest of the Hauraki Gulf in New Zealand can develop seabather's eruption, typically during summer. [10]

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Cnidaria is a phylum under kingdom Animalia containing over 11,000 species of aquatic animals found both in freshwater and marine environments, including jellyfish, hydroids, sea anemone, corals and some of the smallest marine parasites. Their distinguishing features are a decentralized nervous system distributed throughout a gelatinous body and the presence of cnidocytes or cnidoblasts, specialized cells with ejectable flagella used mainly for envenomation and capturing prey. Their bodies consist of mesoglea, a non-living jelly-like substance, sandwiched between two layers of epithelium that are mostly one cell thick.

<span class="mw-page-title-main">Plankton</span> Organisms that are in the water column and are incapable of swimming against a current

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<span class="mw-page-title-main">Jellyfish</span> Soft-bodied, aquatic invertebrates

Jellyfish, also known sea jellies, are the medusa-phase of certain gelatinous members of the subphylum Medusozoa, which is a major part of the phylum Cnidaria.

<span class="mw-page-title-main">Box jellyfish</span> Class of cnidarians distinguished by their cube-shaped medusae

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<i>Aurelia aurita</i> Species of jellyfish

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<i>Velella</i> Species of cnidarian

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<i>Chironex fleckeri</i> Species of jellyfish

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<i>Pelagia noctiluca</i> Species of cnidarian

Pelagia noctiluca is a jellyfish in the family Pelagiidae and the only currently recognized species in the genus Pelagia. It is typically known in English as the mauve stinger, but other common names are purple-striped jelly, purple stinger, purple people eater, purple jellyfish, luminous jellyfish and night-light jellyfish. In Greek, pelagia means "(she) of the sea", from pelagos "sea, open sea"; in Latin noctiluca is the combining form of nox, "night"", and lux, "light"; thus, Pelagia noctiluca can be described as a marine organism with the ability to glow in the dark (bioluminescence). It is found worldwide in tropical and warm temperate seas, although it is suspected that records outside the North Atlantic region, which includes the Mediterranean and Gulf of Mexico, represent closely related but currently unrecognized species.

<span class="mw-page-title-main">Ancylostomiasis</span> Medical condition

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<span class="mw-page-title-main">Cannonball jellyfish</span> Species of jellyfish

The cannonball jellyfish, also known as the cabbagehead jellyfish, is a species of jellyfish in the family Stomolophidae. Its common name derives from its similarity to a cannonball in shape and size. Its dome-shaped bell can reach 25 cm (10 in) in diameter. The rim is often colored with brown pigment. There are several known undescribed Stomolophus species found in the Pacific and South Atlantic that exhibit pale to blue pigment. They are genetically different from the individuals found in the North Atlantic - but are commonly misidentified as such. Underneath the body is a cluster of oral arms that extend out around the mouth. These arms function in propulsion and as an aid in catching prey. Cannonballs are prominent from North America's eastern seaboard to the Gulf of Mexico.

<i>Carukia barnesi</i> Species of jellyfish

Carukia barnesi is an extremely venomous jellyfish found near Australia. Stings can result in Irukandji syndrome, and this species is commonly known as Irukandji jellyfish, although this name does not distinguish it from other Irukandji jellyfish such as Malo kingi.

<i>Ancylostoma braziliense</i> Species of worm

Ancylostoma braziliense is a species of hookworm belonging to the genus Ancylostoma. It is an intestinal parasite of domestic cats and dogs. Severe infection is often fatal to these pets, especially in puppies and kittens. The infection is particularly endemic in the southern United States. It is most often confused with the zoonotic hookworm species Ancylostoma ceylanicum because of their uncanny resemblance.

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Trombiculidae, commonly referred to in North America as chiggers and in Britain as harvest mites, but also known as berry bugs, bush-mites, red bugs or scrub-itch mites, are a family of mites. Chiggers are often confused with jiggers – a type of flea. Several species of Trombiculidae in their larva stage bite their animal or human host and by embedding their mouthparts into the skin cause "intense irritation" or "a wheal, usually with severe itching and dermatitis".

<span class="mw-page-title-main">Jellyfish dermatitis</span> Medical condition

Jellyfish dermatitis is a cutaneous condition caused by stings from a jellyfish.

<span class="mw-page-title-main">Thimble jellyfish</span> Species of cnidarian

The thimble jellyfish is a species of cnidarian found in the warm West Atlantic Ocean, including the Caribbean. It is a tiny jellyfish with a straight-sided, flat-topped bell. This jellyfish is the most common cause of seabather's eruption, a reaction caused by the injection of juvenile jellyfish nematocysts into human skin.

<i>Linuche aquila</i> Species of jellyfish

Linuche aquila is a species of cnidarian found in the tropical and subtropical areas of the Pacific Ocean. It is very small and is commonly known as a thimble jellyfish because of its size and shape. The larvae can cause bathers to develop an itchy red rash commonly known as seabather's eruption.

References

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  2. MacSween RM, Williams HC (April 1996). "Seabather's eruption--a case of Caribbean itch". BMJ . 312 (7036): 957–8. doi:10.1136/bmj.312.7036.957. PMC   2350763 . PMID   8616313.
  3. John A. Williamson, Joseph W. Burnett & Peter J. Fenner, Jacqueline F. Rifkin (1996). Venomous and Poisonous Marine Animals: A Medical and Biological Handbook. University of New South Wales Press. p. 308.{{cite book}}: CS1 maint: multiple names: authors list (link)
  4. Tomchik RS, Russell MT, Szmant AM, Black NA (April 1993). "Clinical perspectives on seabather's eruption, also known as 'sea lice'". JAMA. 269 (13): 1669–72. doi:10.1001/jama.269.13.1669. PMID   8455301.
  5. "Swimmer's itch. DermNet NZ".
  6. Ubillos SS, Vuong D, Sinnott JT, Sakalosky PE (November 1995). "Seabather's eruption". South. Med. J. 88 (11): 1163–5. doi:10.1097/00007611-199511000-00019. PMID   7481994.
  7. 1 2 Haddad V, Cardoso JL, Silveira FL (2001). "Seabather's eruption: report of five cases in southeast region of Brazil". Rev. Inst. Med. Trop. Sao Paulo. 43 (3): 171–2. doi: 10.1590/S0036-46652001000300011 . hdl: 11449/11740 . PMID   11452328.
  8. Diversity MDPI
  9. "Sea lice: What are the tiny ocean irritants?". www.abc.net.au. Australian Broadcasting Corporation. Retrieved 2020-12-27.
  10. "Fact sheet: Jellyfish stings" (PDF). Auckland Regional Public Health Service. Archived from the original (PDF) on 8 February 2013. Retrieved 6 March 2013.