Phylum porifera: Difference between revisions
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==Clinical Features== | ==Clinical Features== | ||
* Symptoms caused by contact with sponge | |||
* Pruritic dermatitis and rarely erythema multiforme or anaphylactoid reaction | |||
* Reaction appears between 10 minutes and a few hours of contact | |||
* Starts with pruritis and burning | |||
** May progress to local edema, proximal joint swelling, or vesiculation | |||
** When large areas of skin are involved, patients can have fever, malaise, dizziness, nausea, muscle cramps | |||
* Mild reactions resolve in 3-7 days | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
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==Management== | ==Management== | ||
* Gently dry skin | |||
* Attempt to remove small spicules imbedded in skin | |||
** May use adhesive tape | |||
* Use 5% acetic acid (vinegar) soaks to affected area 10-30 minutes 3-4 times daily | |||
** If unavailable may use 40-70% isopropyl alcohol | |||
* Topical steroids may relieve secondary inflammation | |||
* Tetanus prophylaxis | |||
* Close follow up for wound checks to monitor for infection | |||
==Disposition== | ==Disposition== | ||
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==References== | ==References== | ||
* Auerbach PS, DiTullio AE. Envenomation by Aquatic Invertebrates. In Auerbach PS, Cushing TA, Harris NS. Auerbach’s Wilderness Medicine. 7th ed. Philadelphia, PA: Elsevier; 2017: 1679 – 1682. | |||
<references/> | <references/> | ||
Revision as of 01:11, 2 April 2019
Background
Life and Habitat
- Approximately 5000 species of sponge
- Generally stationary and attach to see floor or coral beds
Relevant species
- Most common Tedania ignis (Hawaiian or West Indian fire sponge)
- Found in Florida and Hawaii
- Fibula nolitangere (poison bun sponge)
- Microciona prolifera (red moss sponge)
Clinical Features
- Symptoms caused by contact with sponge
- Pruritic dermatitis and rarely erythema multiforme or anaphylactoid reaction
- Reaction appears between 10 minutes and a few hours of contact
- Starts with pruritis and burning
- May progress to local edema, proximal joint swelling, or vesiculation
- When large areas of skin are involved, patients can have fever, malaise, dizziness, nausea, muscle cramps
- Mild reactions resolve in 3-7 days
Differential Diagnosis
Evaluation
Management
- Gently dry skin
- Attempt to remove small spicules imbedded in skin
- May use adhesive tape
- Use 5% acetic acid (vinegar) soaks to affected area 10-30 minutes 3-4 times daily
- If unavailable may use 40-70% isopropyl alcohol
- Topical steroids may relieve secondary inflammation
- Tetanus prophylaxis
- Close follow up for wound checks to monitor for infection
Disposition
See Also
External Links
References
- Auerbach PS, DiTullio AE. Envenomation by Aquatic Invertebrates. In Auerbach PS, Cushing TA, Harris NS. Auerbach’s Wilderness Medicine. 7th ed. Philadelphia, PA: Elsevier; 2017: 1679 – 1682.