Delayed generalized edema after marine sting in the Arabian Gulf: A case report

Mohammed Aljumaan; Arwa Alromaih; Hend Alshamsi; Badriah Alomari

Delayed generalized edema after marine sting in the Arabian Gulf: A case report

Authors
Mohammed Aljumaan, Arwa Alromaih, Hend Alshamsi, Badriah Alomari

Abstract
Introduction: Marine stings and envenomation is very common cause of visit to the emergency in the coastal cities. Here, we report a case of a marine sting that caused a delayed edematous reaction in a diabetic patient. The marine wildlife is not well studied in our part of the world.

Case report: an adult female known case of diabetes, stung on her foot on beachside with an unknown species, after which developed local symptoms of burning and pruritus, followed by edema of same foot a day later, anasarca followed days later. All other examination and investigations were within normal.

Conclusion: Most marine envenomation causes immediate reaction, which can be treated with simple first aid measurements and will rarely need medical intervention. We hypothesize that diabetes could interfere with the reaction process and delays the effect.

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