Marine Stings and Scrapes

Topic Overview

Walking on a beach or swimming in the ocean can be fun and relaxing. But just like any other activities, accidents can happen. This topic will help you determine the next steps to take if you have a jellyfish or Portuguese man-of-war sting, seabather's eruption, or a coral scrape.

Stings

Jellyfish and Portuguese man-of-wars are members of a large group of venomous marine animals that also includes fire coral and sea anemones. They are present all over the world and cause injury and illness through the release of venom when their tentacles come in contact with skin (stinging). While the sting of a jellyfish or Portuguese man-of-war can cause severe illness and extreme pain, documented deaths are rare.

Jellyfish are often present in coastal waters, having been brought ashore by winds or ocean currents. They are most common in warm ocean waters, especially along the Atlantic coast of the United States. Stings result from contact with the tentacles, which trail from the jellyfish's see-through body. Jellyfish swimming in the water are often hard to see. Beached jellyfish, which may look like the cellophane wrapper from a cigarette pack, can sting if touched.

Jellyfish stings cause immediate, intense pain and burning that can last for several hours. Raised, red welts develop along the site of the sting, which may look as if you have been hit with a whip. The welts may last for 1 to 2 weeks, and itchy skin rashes may appear 1 to 4 weeks after the sting. Fortunately, most jellyfish stings are not severe. Extensive stings, allergic reactions, or severe toxic reactions are not common but do occur. To avoid the risk of drowning, swimmers should get out of the water as soon as they realize they have been stung.

The box jellyfish, which is found in the Indian Ocean and South Pacific, can cause a fatal reaction. It is the only jellyfish for which a specific antidote (antivenin) exists. Administration of this antivenin may be lifesaving.

Seabather's eruption is a rash that develops from the stings of jellyfish or sea anemone larvae. The rash can be quite itchy and annoying, but usually goes away without medical treatment in 10 to 14 days.

Portuguese man-of-wars (hydrozoans) live in warm seas throughout the world but are most common in the tropical and subtropical regions of the Pacific and Indian oceans and in the Gulf Stream of the North Atlantic Ocean. They float on the surface of the water with their long, stinging tentacles trailing in the water below. Detached tentacles that wash up on the beach may remain dangerous for months.

Portuguese man-of-war stings produce immediate burning pain and redness where the tentacles touched the skin. The affected area develops a red line with small white lesions. In severe cases, blisters and welts that look like a string of beads may appear. Stings that involve the eye may cause pain, swelling, excessive tears, blurred vision, or increased sensitivity to light. Severe reactions are most likely to occur in children and small adults. Severe toxic reactions to the venom can also occur.

Coral scrapes

Coral scrapes and cuts are common injuries that may occur when you walk on a beach or swim, snorkel, or dive in warm water. Coral polyps, the soft living material that covers the surface of coral, can be easily torn away from the rigid and abrasive structure underneath if you touch, bump, or fall on coral. A skin infection may develop when small pieces of coral, other debris, and bacteria get inside the wound. Scrapes and cuts from sharp-edged coral may take weeks or even months to heal.

Review the Emergencies and Check Your Symptoms sections to determine if and when you need to see a doctor.

	Go to top of page	Go to next section
Author:	Jan Nissl, RN, BS	Last Updated: September 24, 2007
Medical Review:	William M. Green, MD - Emergency Medicine H. Michael O'Connor, MD - Emergency Medicine
© 1995-2008 Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.This information does not replace the advice of a doctor. Healthwise disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. How this information was developed to help you make better health decisions.