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The sting
The box jellyfish Chironex fleckeri are the most venomous
marine creatures on the planet and, in Australia, have killed almost
70 people in the last 120 years. In the Northern Territory, fatal
stings have been recorded in every month of the year except August.
Most stings occur in shallow water when the wind is light and the
water calm (although stings have occurred in rough weather, in very
dirty, deeper water). Victims usually blunder into tentacles trailing
behind the jellyfish which are almost invisible in the water. Most
stings occur on the lower legs and body.
Pain is instant and severe. The tentacles are like sticky threads
and leave raised red marks. The venom of the box jellyfish are neurotoxic
(attacks nerves), cardiotoxic (attacks the heart) and dermatonecrotic
(destroys skin). Therefore, victims can rapidly stop breathing,
sometimes within a few minutes of the sting. Death occurs rapidly
unless prompt first aid and medical aid is available. If the victim
survives, they are often scarred. Treating the sting sites as if
they were burns greatly reduces the scarring, suggesting that it
may be secondary infections that cause the scarring.
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