A 41-year old woman presented to my office because of 7 days | Figure 1

BorisJ87

Case Report:

A 41-year old woman presented to my office because of 7 days history of this skin changes and symptoms like bilateral hand paresthesia and tachycardia which started on the day of the examination. Her skin changes started after contact with Physalia physalis (Atlantic Portuguese man o' war) during her swimming in Atlantic ocean. Firstly, she had erythema and swelling at the skin where this organism touched her, and also pain. During next days those subsided, but she developed parestesia on both hands and tachycardia. Beside those skin changes and tachycardia, the rest of physical examination was unremarkable.

How would you approach this case, because there is no antidote for this kind of poisoning? What would be the treatment?

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