open access

Vol 70, No 1 (2019)
MARITIME MEDICINE Review article
Published online: 2019-03-28
Submitted: 2018-12-22
Accepted: 2019-02-07
Get Citation

Toxic jellyfish in Thailand

Hansa Premmaneesakul, Pornchai Sithisarankul
DOI: 10.5603/IMH.2019.0004
·
Pubmed: 30931514
·
International Maritime Health 2019;70(1):22-26.

open access

Vol 70, No 1 (2019)
MARITIME MEDICINE Review article
Published online: 2019-03-28
Submitted: 2018-12-22
Accepted: 2019-02-07

Abstract

Jellyfish stings are common in Thailand. Stings can range from mild skin irritation to severe systemic symptoms resulting in death. Jellyfish envenomation is becoming an important public health concern. The lethal box jellyfish and bluebottle jellyfish are found on the Gulf of Thailand and Andaman coasts, but there are still misconception and mismanagement of these types of severe stings. Prevention and awareness of jellyfish stings are important, as well as knowledge and first aid management of severe envenomation. Educational programmes should be provided to locals including school children, teachers, hotel and tour operators, and medical staff. This will greatly reduce the morbidity and mortality associated with fatal stings.

Abstract

Jellyfish stings are common in Thailand. Stings can range from mild skin irritation to severe systemic symptoms resulting in death. Jellyfish envenomation is becoming an important public health concern. The lethal box jellyfish and bluebottle jellyfish are found on the Gulf of Thailand and Andaman coasts, but there are still misconception and mismanagement of these types of severe stings. Prevention and awareness of jellyfish stings are important, as well as knowledge and first aid management of severe envenomation. Educational programmes should be provided to locals including school children, teachers, hotel and tour operators, and medical staff. This will greatly reduce the morbidity and mortality associated with fatal stings.

Get Citation

Keywords

jellyfish; bites and stings; Chironex; Physalia; jellyfish venom

About this article
Title

Toxic jellyfish in Thailand

Journal

International Maritime Health

Issue

Vol 70, No 1 (2019)

Pages

22-26

Published online

2019-03-28

DOI

10.5603/IMH.2019.0004

Pubmed

30931514

Bibliographic record

International Maritime Health 2019;70(1):22-26.

Keywords

jellyfish
bites and stings
Chironex
Physalia
jellyfish venom

Authors

Hansa Premmaneesakul
Pornchai Sithisarankul

References (21)
  1. Cegolon L, Heymann WC, Lange JH, et al. Jellyfish stings and their management: a review. Mar Drugs. 2013; 11(2): 523–550.
  2. Lakkis NA, Maalouf GJ, Mahmassani DM. Jellyfish stings: a practical approach. Wilderness Environ Med. 2015; 26(3): 422–429.
  3. Tibballs J, Li R, Tibballs HA, et al. Australian carybdeid jellyfish causing "Irukandji syndrome". Toxicon. 2012; 59(6): 617–625.
  4. Gershwin La, Richardson AJ, Winkel KD, et al. Biology and ecology of Irukandji jellyfish (Cnidaria: Cubozoa). Adv Mar Biol. 2013; 66: 1–85.
  5. Carrette TJ, Underwood AH, Seymour JE. Irukandji syndrome: a widely misunderstood and poorly researched tropical marine envenoming. Diving Hyperb Med. 2012; 42(4): 214–223.
  6. Thaikruea L, Siriariyaporn P. The magnitude of severe box jellyfish cases on Koh Samui and Koh Pha-ngan in the Gulf of Thailand. BMC Res Notes. 2016; 9: 108.
  7. Thaikruea L, Siriarayaporn P. Injuries and deaths caused by toxic jellyfish: Surveillance, prevention, and treatment. [Internet]. Chiang Mai: Faculty of Medicine of Chiang Mai University; 2018. http://oknation.nationtv.tv/blog/lakthai (cited 2018 Nov 1).
  8. Tibballs J. Australian venomous jellyfish, envenomation syndromes, toxins and therapy. Toxicon. 2006; 48(7): 830–859.
  9. Thaikruea L, Siriariyaporn P. Severe dermatonecrotic toxin and wound complications associated with box jellyfish stings 2008-2013. J Wound Ostomy Continence Nurs. 2015; 42(6): 599–604.
  10. Thaikruea L, Siriariyaporn P, Wutthanarungsan R, et al. Review of fatal and severe cases of box jellyfish envenomation in Thailand. Asia Pac J Public Health. 2015; 27(2): NP1639–NP1651.
  11. Chaiyakul T. Jellyfish Envenomation in Thailand: Field and Prehospital Management. R Thai Navy Med J. ; 44: 199–206.
  12. Yanagihara AA, Wilcox C, Smith J, Surrett GW. Cubozoan envenomations: clinical features, athohysiology and management. In: Goffredo S, Dubinsky Z, editors. The Cnidaria, ast, resent and future: The world of medusa and her sisters. Cham: Sringer; 2016. Springer, Cham 2016: 637–652.
  13. Sucharitakul P, Chomdej S, Achalawitkun T, et al. Chirodropid box jellyfish in the Gulf of Thailand. Marine Biodiversity. 2018.
  14. Li Li, McGee RG, Isbister G, et al. Interventions for the symptoms and signs resulting from jellyfish stings. Cochrane Database Syst Rev. 2013(12): CD009688.
  15. Australian Resuscitation Council. Guideline 9.4.5 Envenomation-jellyfish stings. [Internet]. 2010 . https://resus.org.au/guidelines/ ([cited 2018 Nov 1).
  16. Suntrarachun S, Roselieb M, Wilde H, et al. A fatal jellyfish encounter in the Gulf of Siam. J Travel Med. 2001; 8(3): 150–151.
  17. de Pender AMG, Winkel KD, Ligthelm RJ. A probable case of Irukandji syndrome in Thailand. J Travel Med. 2006; 13(4): 240–243.
  18. Burnett J. Medical aspects of jellyfish envenomation: pathogenesis, case reporting and therapy. Jellyfish Blooms: Ecological and Societal Importance. 2001: 1–9.
  19. Lippmann JM, Fenner PJ, Winkel K, et al. Fatal and severe box jellyfish stings, including Irukandji stings, in Malaysia, 2000-2010. J Travel Med. 2011; 18(4): 275–281.
  20. Fenner P. Awareness, Prevention and Treatment of world-wide marine stings and bites. [Internet]. 1997. https://www.ilsf.org/sites/ilsf.org/files/filefield/treatmentofmarinestings.pdf (cited 2018 Nov 1).
  21. Fenner P, Lippmann J, Gershwin L. Fatal and Nonfatal Severe Jellyfish Stings in Thai Waters. J Travel Med. 2010; 17(2): 133–138.

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