SYMPTOMS CAUSED BY CONTACT WITH JELLYFISH. 331 



Case 5. — D., a hospital apprentice, while swimming off the hospital wharf was 

 stung by a jellyfish on his arm. The symptoms appeared in about twenty minutes. 

 I did not see him, but obtained a description of his symptoms, which were exactly 

 like those of the other eases quoted, except that this patient did not have the 

 severe pain in his back nor was he hysterical (this latter fact was obtained from 

 one who saw him). The symptoms lasted two hours. No treatment was in- 

 stituted. 



Case 6. — This was reported to me by Assistant Surgeon A. B. Clifford, United 

 States Navy. The case came to the dispensary at the United States naval 

 station, Cavite, on July 6, 1907. This patient was a Filipino seaman. He was 

 stung by a jellyfish while in swimming. Slightly raised, red-streaked areas ap- 

 peared on both arms and neck. He said this happened about an hour before he 

 was seen, but at that time there was marked congestion of the respiratory tract 

 with almost constant coughing and expectoration of a thin mucoid sputum. Ex- 

 cessive lachrymation was present. There was no vomiting or headache. Pain all 

 over the body was complained of, but chiefly in the back. The patient threw 

 himself about the bed in a-n hysterical manner. The temperature by axilla was 

 37° C (98°. 6 F.). He was given morphine sulphate one-eighth grain by hypo- 

 dermic injection and sodium bromide by the mouth. The patient became quiet 

 shortly afterwards, but continued to have some pain over the streaked areas and 

 in the back. 



Case 7. — Reported to me by Surgeon D. N. Carpenter, United States Navy, 

 who had the case in charge at the United States naval station, Cavite. This case, 

 H. D., occurred on the afternoon of August 11, 1907. While in bathing off this 

 station the patient says that he was stung by a jellyfish. About fifteen minutes 

 later when he reported at the dispensary the symptoms had already appeared. 



Over the region of the right deltoid and scapula there was an erythematous 

 hyperaeesthetic area which was covered with perspiration and this would im- 

 mediately reappear on being wiped off, or rather it "wept." The symtoms noted 

 were: respiratory spasm, holding of the breath for several seconds with short 

 expirations and nervous cough; venous engorgement of the jugular veins from 

 holding the breath. The face was flushed, the skin of the face relaxed and 

 perspiring profusely ; the head felt hot ; there was a discharge from the nose ; 

 the pupils were partially and equally dilated. Pain was complained of in the 

 back and pit of the stomach. Hysterical nervous symptoms manifested themselves 

 by great restlessness and complaint of constriction of the throat appeared. The 

 lungs were clear. The heart was normal. The pulse regular and of good volume, 

 about 80. The temperature was not taken. 



Treatment. — The remedy advocated by the natives was first tried, namely of 

 vinegar externally and sugar internally. This was without effect. Amyl nitrite 

 inhalations were also given without result. Morphine sulphate one-eighth grain 

 by hypodermic injection was administered and in five minutes the patient com- 

 plained of no pain and the restlessness and hysterical symptoms had subsided. 



The following cases were reported to me by Surgeon C. P. Kindle- 

 berger, United States Navy, thejf having come under his observation at 

 the United States naval station, Olongapo: 



Case 8. — The patient was a Filipino boy, 14 years old, who was seen on July 

 16, 1907. He was stung on the right forearm by a white jellyfish; a red welt 

 was seen over the effected area. He cried with pain, was restless and became 

 partially unconscious. The lesion was treated locally with applications of alcohol 

 and internally with a solution of sodium bicarbonate with bromides; he became 

 quiet and was apparently in good condition. His father insisted on taking him 



