title: Intracerebral hemorrhage and death after envenoming by the jellyfish Carukia barnesi.
abstract: BACKGROUND
  Irukandji syndrome is because of envenoming by a number of small jellyfish. It results in a delayed onset of generalized pain, sweating hypertension, and tachycardia. There is no antivenom.
  
  
  METHODS
  A 44-year-old healthy male was stung while swimming in NE Australia. He rapidly developed Irukandji syndrome. He had a rapid deterioration in conscious level because of an intracerebral hemorrhage. He developed left ventricular failure with an elevated troponin (34 mcg/L, N < 0.4) requiring inotropic support. He progressed to brain death and died on day 13 poststing. Nematocysts recovered from the patient skin were consistent with a large Carukia barnesi.
  
  
  CONCLUSIONS
  This is the first case of a death because of Irukandji syndrome where the jellyfish Carukia barnesi has been demonstrated to the causative creature.
authors.affiliation: Department of Emergency Medicine, Cairns Base Hospital, Australia.
authors.forename: Peter
authors.initials: P
authors.lastname: Pereira
authors.forename: Jane
authors.initials: J
authors.lastname: Barry
authors.forename: Michael
authors.initials: M
authors.lastname: Corkeron
authors.forename: Pip
authors.initials: P
authors.lastname: Keir
authors.forename: Mark
authors.initials: M
authors.lastname: Little
authors.forename: Jamie
authors.initials: J
authors.lastname: Seymour
mesh_terms: D000328:Adult; D000818:Animals; D002543:Cerebral Hemorrhage / Q000139:chemically induced* / Q000175:diagnosis; D003064:Cnidarian Venoms / Q000633:toxicity*; D037462:Cubozoa; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D014336:Troponin / Q000097:blood; D018487:Ventricular Dysfunction, Left / Q000139:chemically induced
chemical_list: D003064:Cnidarian Venoms; D014336:Troponin