Portuguese man-of-war are floating cnidarians that use their sail-like gas bladder to catch wind currents that propel these animals along the surface of the open ocean. The gas bladder, known as a pneumatophore, is filled with atmospheric gases, and it may contain up to 90 percent carbon dioxide (CO2).
There are two species: the larger Atlantic or Portuguese man-of-war and its smaller IndoPacific relative known as bluebottle. The Atlantic species is found from south Brazil through the Gulf of Mexico and all along the eastern United States. Further east, they are found around South Africa and as far north as the Mediterranean and Scotland. While the Pacific species is typically found in Australia, the Indian Ocean and New Zealand, they have also been reported in the Hawaiian Islands.
Because of their propensity to cause systemic symptoms, these two species are considered among the most dangerous cnidarians. Their venom contains a powerful neurotoxin that can paralyze small fish and other prey.
Symptoms can persist up to 48 hours. Severe systemic symptoms are rare but may require advanced life support including mechanical ventilation and advanced cardiac life support. The first responder must consider evacuation to a higher level of care if symptoms worsen or the overall condition deteriorates.