Finger ischemia following a jelly fish sting : a surgical approach

Abstract EN

A 15-year-old girl sustained a jelly fish sting to her left hand and subsequently developed acute vascular insuffi¬ciency of the left index and middle fingers with a threat of distal gangrene.

Jellyfish venoms are complex mixtures of polypeptides and enzymes pathogenic to man by means of their anti¬genic properties Fatal reactions can be caused by hy-¬persensitivity of the toxins on the heart, respiratory center or kidneys- Local or generalized skin eruption, exagger--ated local oedema, local fat atrophy and pigmentary changes are also features of the jelly fish sting A direct neurotoxic effect of the jelly fish venom on big nerves as radial, median and ulnar nerve palsies has been reported by Peel.