View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by Repositorio Institucional de la Universidad de Alicante 1 1 BRIEF COMMUNICATION 2 3 Carybdea marsupialis (Cubozoa) in the Mediterranean Sea: The first case of a sting 4 causing cutaneous and systemic manifestations 5 6 Cesar Bordehore1*, MSc, Santiago Nogué2, MD, PhD, Josep-Maria Gili3, MSc, PhD, 7 Melissa J. Acevedo1,3 MSc, and Verónica L. Fuentes3, MSc, PhD 8 9 1 Department of Ecology and Ramon Margalef Research Institute, University of 10 Alicante, Spain. 11 2 Clinical Toxicology Unit. Emergency Department. Hospital Clínic, Barcelona, Spain. 12 3 Institute of Marine Sciences, CSIC, Barcelona, Catalonia, Spain. 13 14 Running title: Systemic manifestations due to a Carybdea marsupialis sting 15 16 Corresponding Author: 17 Cesar Bordehore, MSc 18 Department of Ecology, University of Alicante 19 Campus San Vicente del Raspeig, Ap 99 20 CP 03080 Alicante, Spain 21 E-mail:
[email protected] Código de campo cambiado 22 23 24 2 25 26 Abstract 27 A woman stung by the box jellyfish Carybdea marsupialis (Cnidaria, Cubozoa) at a 28 Spanish Mediterranean beach, showed systemic manifestations over several months 29 (pain far from the inoculation point, arthralgia, paresthesia, hyperesthesia, increase of 30 eosinophils and IgE ) in addition to the skin condition. 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 3 49 50 51 Carybdea marsupialis (Linnaeus, 1758) is the only box jellyfish found in the 52 Mediterranean where it is occasionally observed in low densities.