A case of immediate and delayed reactions after contact with a venomous mauve-stinger jellyfish in a diabetic patient

Abstract

Introduction: A contact with the venoms produced by a pelagic jellyfish type, known as Pelagia noctiluca, can induce both local and general symptoms. We report here a case of jellyfish envenomation with a mauvestinger in a diabetic patient who developed localized skin involvement, delayed systemic reaction and hyperglycemia. To our knowledge this is the first report of this kind in literature. Case Report: The patient, an adult male tourist with type I diabetes, was stung on the forehead by a mauve stinger jellyfish while swimming on the Maltese coast in summer 2012. Local symptoms were initially of an erythematous, edematous and a vesicular topical lesion in the forehead region, followed by massive eye swelling 72 hours after the incident. In addition, his normally well controlled diabetes was affected, with an unusual severe episode of hyperglycemia that did not respond readily to alterations in his insulin regime. Conclusion: Pelagia noctiluca is a jellyfish known for its strong cytotoxic properties. We hypothesize that the stress

Factors Affecting Glycemic Control in Type-1 Diabetes Mellitus in Patients Visiting Newly Established Diabetic OPD at Tertiary Car Hospital Hyderabad Sindh

“…Diabetes management is an important consideration because of the difficulty of this selfcare regimen and the high rate of non-adherence that occurs. 7,8 In Type I diabetics, insulin omission is prevalent, but the reasons associated with such omission vary between populations 9 . According to Crow et al (1998), omission occurs when inadequate insulin injection for the calories taken results un an increase in blood glucose levels There could be a variety of causes for this, ranging from an accident to a calculated attempt 10 .…”