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Irukandji syndrom: Årsak og forekomst

  • Årsak
    • Maneten Carukia barnesi er den eneste som sikkert kan forbindes med denne tilstanden, men også andre kubemaneter mistenkes å kunne gi tilsvarende plager 5-7
  • Forekomst
    • Man ser en reduksjon i antall sykdomstilfeller, men tilstanden er trolig underrapportert4
      • Reduksjonen i antall sykdomstilfeller skyldes trolig bedre beskyttelse av badestrender, utbredelsen av maneter som forårsaker syndromet virker å øke1
    • Irukandji syndrom er mest kjent fra kystområdene langs den nordlige halvdel av Australia8, men det rapporteres om liknende forgiftninger også i andre tropiske farvann9
Annonse
  1. Klein SG, Pitt KA, Rathjen KA, Seymour JE. Irukandji jellyfish polyps exhibit tolerance to interacting climate change stressors. Glob Chang Biol 2014; 20: 28-37. pmid:24323533 PubMed
  2. Huynh TT, Seymour J, Pereira P et al. Severity of Irukandji syndrome and nematocyst identification from skin scrapings. Medical Journal of Australia 2003; 78: 38-41 PubMed
  3. Burnett JW, Weinrich D, Williamson JA, Fenner PJ, Lutz LL, Bloom DA. Autonomic neurotoxicity of jellyfish and marine animal venoms. Clinical Autonomic Research 1998; 8: 125-130 PubMed
  4. Carrette TJ, Underwood AH, Seymour JE. Irukandji syndrome: a widely misunderstood and poorly researched tropical marine envenoming. Diving Hyperb Med 2012; 42: 214-23. pmid:23258458 PubMed
  5. Southcott RV. Revision of some Carybdeidae (Scyphozoa: Cubomedusae), including a description of the jellyfish responsible for the "Irukandji syndrome". Australian Journal of Zoology 1967; 15: 651-671 PubMed
  6. Huynh TT, Seymour J, Pereira P et al. Severity of Irukandji syndrome and nematocyst identification from skin scrapings. Medical Journal of Australia 2003; 78: 38-41 PubMed
  7. Little M, Pereira P, Mulcahy R, Cullen P, Carrette T, Seymour J. Severe cardiac failure associated with presumed jellyfish sting. Irukandji Syndrome? Anaesthesia and Intensive Care 2003; 31: 642-647 PubMed
  8. Barnett FI, Durrheim DN, Speare R, Muller R. Management of Irukandji syndrome in northern Australia. Rural and Remote Health 5 (online) 2005; 369.
  9. Fenner PJ, Williamson JA. World-wide deaths and severe envenomation from jellyfish stings. Medical Journal of Australia 1996; 165: 658-661 PubMed
  10. Li L, McGee RG, Isbister G, Webster AC. Interventions for the symptoms and signs resulting from jellyfish stings. Cochrane Database Syst Rev 2013. doi:10.1002/14651858.CD009688.pub2 DOI
  11. Bailey PM, Little M, Jelinek GA, Wilce JA. Jellyfish envenoming syndromes: unknown toxic mechanisms and unproven therapies. Medical Journal of Australia 2003; 78: 34-37 PubMed
  12. Doyle TK, Headlam JL, Wilcox CL, MacLoughlin E, et. al. Evaluation of Cyanea capillata Sting Management Protocols Using Ex Vivo and In Vitro Envenomation Models. Toxins (Basel) 2017; 9: E215. pmid:28686221 PubMed
  13. Cegolon L, Heymann WC, Lange JH, Mastrangelo G. Jellyfish stings and their management: a review. Mar Drugs 2013; 11: 523-50. pmid:23434796 PubMed
  14. Commonwealth Department of Health and Aged Care. Measuring remoteness: accessibility/remoteness index of Australia (ARIA) (Revised edition). Occasional papers: New Series Number 14. Canberra, ACT: CDHAC, 2001
  15. Fenner PJ, Hadok JC. Fatal envenomation by jellyfish causing Irukandji syndrome. Medical Journal of Australia 2002; 77: 362-363 PubMed
  16. Fenner PJ, Williamson JA, Burnett JW. Clinical aspects of envenoming by marine animals. Envenomings and their treatments. Proceedings, First International Congress, Institut Pasteur, Paris 7-9 June 1995. Lyon: Fondation Marcel Merieux, 1995
  17. Fenner PJ, Williamson J, Callanan VI, Audley I. Further understanding of, and a new treatment for, "Irukandji" (Carukia Barnesi)stings. Medical Journal of Australia 1986; 45: 569-574 PubMed
  18. Fenner PJ, Lewin M. Sublingual glyceryl trinitrate as prehospital treatment for hypertension in Irukandji syndrome. Medical Journal of Australia 2003; 79: 655 PubMed
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