Irukandji syndrome
===Background===[1]
- Usually develops within 2 hours of envenomation & can last up to 2 days
- Rare but potentially fatal complication can manifest in diverse ways:
- Myalgias
- Back pain
- Chest pain
- Abdominal pain
- Nausea and vomiting
- Diaphoresis
- Hypertensive crisis
- Cardiogenic pulmonary edema
- Intracranial hemorrhage
- Death
==Management== [2]
- Manage pain with 4-5% acetic acid/vinegar & Hot water immersion (111-114F)
- IV magnesium sulfate (0.2mmol/kg, max 10mmol in adults) given as a bolus over 5-15 minutes for pain refractory to opioids
- Hypertension should be treated with short acting titratable medications (eg., phentolamine, esmolol, nicardipine, nitroprusside) d/t potential for hypotension in the later stages of toxicity