physical hazards of diving in Honduras?

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sandram

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Hi - I am a new member of the site. My husband and I went to Roatan, HOnduras about three years back. The diving was great and we had a great time. However, my legs broke out in severe bumps and began burning. The medical people at the resort said it was probably an allergic reaction to the noseums and gave me heavy antiobiotics. I didn't think much more about this until three months later when my legs contracted on me and I couldn't walk for a week. Since this time I have had periods of severe pain, neruological problems, cognitive problems, and physical coordination. I have been checked with MS, Lupus etc. with no results - my bloodwork shows nothing - Does anyone have any idea about other disease transmitting bugs in Honduras? Thank you so much for your reply!1
 
I've been to Honduras many times, but have not heard of such a reaction. I would suggest maybe going to see a tropical disease specialist, if your local MDs can't figure out the problem.
 
i was living in utila honduras for a year up until may of last year never had any problems, have heard similar complaints from two people. first guy was thought to have had a case of malaria, the second was a lady and it turned out to be a severe reaction to jellyfish larvae.
 
Hi sandram,

How distressing.

Did you then or do you now have any other signs or symptoms? Fever, nausea, vomiting, diarrhea, aches/pains, other disturbances of the skin? Are you taking any medications?

Best regards.

DocVikingo
 
I doubt that "no-see-ums" would cause the bumps on your legs. Could be due to something called "caribe", an invisible parasite in tropical seas. Hydroid stings are a possibility. The bumps also could be the bite of the common sand flea. This insect sometimes carries Leishmaniasis. Sand flea bites itch as do hydroids. Caribe is most likely to burn or sting. The location of the rash would suggest sand fleas as the most likely.

That is not to say that the chronic symptoms are necessarily related to the rash but it could be. Women are particularly susceptible to auto immune diseases but it appears you have been examined for some of these. Suggest you be checked for fibromyalgia.

There are other tropical parasites, I'm sure, but your situation should be reviewed by a specialist.

Have there been any spells of unusual fatigue? Fever or chills?
 
Hi devjr,

I'd be interested in hearing greater detail about the invisible parasite in tropical seas that causes "caribe."

Thank you.

DocVikingo
 
Hi devjr:

I'd like to hear more about the invisible parasite in tropical seas called "caribe" too.

Bill
 
Oh crap, well, I'm not a marine biologist. I think Caribe is the larva of some kind of invertebrate.

I got stung while diving off Cuba in 1982 (don't ask). I think that's also what hit me off Bimini in 1996.

A friend thinks that Caribe was mentioned in a recent National Geographic.

Wish I could say more, if I can find the article I'll pass it on.
 
Hi devjr,

While I of course cannot be certain, I rather suspect that this is what you may be referring to. The below is an edited version from my "Ask RSD" column of the October 1999 issue of "Rodale's Scuba Diving" magazine:

"I. What are "sea lice" and what can I do about them?

A common form of skin disorder after diving is Sea Bather's Eruption, or SBE. Often mistakenly attributed to "sea lice," which are parasites of fish, SBE is primarily caused by the larval form of thimble jellyfish, very small creatures which float near the surface. Found in Florida, Mexico and the wider Caribbean, they are most numerous from March to August, with early April to early June being peak season.

The main feature of SBE is raised and itchy red welts/blotches which appear 4 to 24 hours after swimming or diving. The larvae tend to attach to swim wear, dive suits and hair, causing the skin under covered areas of the body and around the back of the neck to be most affected. Depending on exposure and individual sensitivity, there may be fever, headache, nausea, vomiting, generalized weakness or chills.

Prevention of stings is the best way to combat SBE. You should: (1) Ask resorts and dive shops if they are aware of heavy infestation; (2) Wear a snug fitting full body protective suit which fits tightly at the neck, wrist and ankle. Swim suits and T-shirts are not recommended; (3) Apply a thin layer of sun protectant, baby oil or petroleum jelly to the skin; (4) Remove wet garments immediately and wash yourself thoroughly. Do not rinse off with any items on; and (5) When surfacing, vigorously purge your second stage above your head just before breaking the water. If on a night dive, turn your light off at the safety stop and keep it off.

If you do get stung: (1) Immediately apply a mixture of 1/2 isopropyl alcohol and 1/2 vinegar to affected skin areas, or whatever is on the boat for such stings. Allow it to dry. Or, put on a thin paste of meat tenderizer and allow to dry. In place of meat tenderizer, some find it more soothing to rub the area with papaya if it is readily available. (2) Bathing in or applying colloidal oatmeal, which can be purchased at the pharmacy or grocery store, may afford additional relief. Follow these actions with the topical application of hydrocortisone cream/lotion, twice a day. If you do not have or cannot use hydrocortisone, Calamine lotion with menthol can be applied; (3) Given that there are no contraindications, take an oral antihistamine (nonsedating type if you are going to continue diving) if the allergic reaction continues; and (4) Wash all garments well in warm, soapy water and let dry completely before wearing again.

Remember that if you have a severe allergic reaction, or don't get substantial resolution from self treatment, or the eruption seems to be getting worse or infected, you should seek medical attention in a timely manner."

Best regards.

DocVikingo
 
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