Rhabdomyolysis due to jellyfish envenomation in Western Australian waters

Abstract

A 25yearold woman presented via ambulance following a jellyfish sting. She felt a painful burning sensation across the left torso while swimming during an autumn afternoon in Perth, Australia. Linear welts developed over the next few hours. At 4 am, she was woken by pain in the left thigh which progressed over the next 12 hours to whole body myalgias, weakness and contractures in her toes. An ambulance was called and she was found by paramedics in significant pain, tachycardic, hypertensive and requiring assistance to mobilise. Paracetamol and methoxyflurane were administered en route to the hospital.