A Case of Prolonged Skin Ulceration Caused by Jellyfish Stings / 대한피부과학회지

ABSTRACT

A 32-year-old Korean man was stung by a jellyfish on his right lower leg while scuba diving at the Philippine seashore. The stung lesion rapidly became painful, erythematous and swollen. Seven days later, an irregular shaped ulcer developed at the pervious sting site. The histopathological findings showed focal perivascular infiltration of chronic inflammatory cells in the upper and mid dermis, fibrosis and focal necrosis in the subcutis. The patient had been treated with antibiotic ointment, topical application of tetrachlordecanoic acid solution and 800mg pentoxifylline for 2 months. During treatment, leg swelling had recurred intermittently. After 2 months, the lesion healed leaving an erythematous atrophic scar. We report a rare case of delayed cutaneous reactions with prolonged skin ulceration and chronic recurrent swelling due to lymphatic obstruction.