Jellyfish sting injury

Very low urgency
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A jellyfish is a gelatinous marine animal with cnidocysts, which are like micro syringes that inject toxic substances.

Although most sting injuries are caused by live jellyfish, it is common for contact to occur with a dead jellyfish or with tentacle remnants in the water.

Most stings present with linear red skin lesions and urticaria. Although hives develop within minutes, they may also appear within hours.

Diagnosis is made by history and physical examination. 

Treatment includes removal of the tentacles remaining on the skin and application of hot water or vinegar to the affected area to destroy the injected toxin. 

Bibliographic references
  1. Erin N Marcus. Jellyfish stings. UpToDate. Oct 2016
  2. O'Reilly GM. Prospective study of jellyfish stings from tropical Australia, including the major box jellyfish Chironex fleckeri. Med J Aust 2001; 175:652.
  3. Macrokanis CJ. Irukandji syndrome in northern Western Australia: an emerging health problem. Med J Aust 2004; 181:699.
  4. Fox JW. Venoms and poisons from marine organisms. In: Cecil Textbook of Medicine, 21st, Goldman. (Ed), WB Saunders, Philadelphia 2000. p.437.
  5. Charles Lei. Trastornos causados por mordedura por víboras venenosas y exposición a animales marinos. Harrison. Principios de Medicina Interna, 19e. Cap 474
Author
Dr. Abel Andrés Orelogio
Copyright
© TeckelMedical 2026

Symptoms

    Reddened skin


    Welts / wheals on the skin


    Itchy skin

Symptoms to watch out for

Bite on the eye
Vomiting
Hives within hours or days of the sting
Mental confusion
Daytime drowsiness that does not allow for daily activities
Difficulty breathing

Self-care

Remove the visible tentacles with fine tweezers.
Soak the skin with hot water for 20 minutes.
Avoid washing with seawater or human urine.
Avoid rubbing the area of the lesion.