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LETTER TO THE EDITOR  
Year : 2016  |  Volume : 9  |  Issue : 4  |  Page : 300
Skin disease after swimming in a dirty sea


1 Sanitation Medical Academic Center, Bangkok, Thailand
2 Hainan Medical University, China

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Date of Web Publication28-Jun-2016
 

How to cite this article:
Joob B, Wiwanitkit V. Skin disease after swimming in a dirty sea. Ann Trop Med Public Health 2016;9:300

How to cite this URL:
Joob B, Wiwanitkit V. Skin disease after swimming in a dirty sea. Ann Trop Med Public Health [serial online] 2016 [cited 2019 Aug 18];9:300. Available from: http://www.atmph.org/text.asp?2016/9/4/300/184836
Dear Sir,

The problem of skin disease after contact with dirty water is very interesting. There are many possible disorders including irritation and infection.[1] Here, the author reports a case of a male patient visiting the physician with a skin lesion at his left leg as seen in [Figure 1]. He noted that he got this problem after swimming in a dirty sea 3 days ago. He noted that the lesion started after he felt an itch and scratched at the leg skin and the lesion extended as a serpiginous line on his legs. Additionally, he had fever and decided to visit the physician. On examination, the patient had fever (38.7°C). The lesion was red and serpiginous along the superficial venous lines of the patient's left leg. The lesion was tender. The complete blood count revealed neutrophilia. In addition, the case was consulted to the infection specialist and finally diagnosed to be a case of phlebitis. The patient was treated with intravenous penicillin. Within 3 days, the patient got full recovery. This is a rare case of infectious phlebitis with a history of contact with dirty water. Based on the history, this case might start with irritation, aquagenic pruritus[2], or aquagenic urticaria[3], and the superimposed infection from scratching leading to infective phlebitis.
Figure 1: Skin lesion

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Conflicts of interest

There are no conflicts of interest.

 
   References Top

1.
Meding B, Anveden Berglind I, Alderling M, Lindahl G, Wrangsjö K. Water exposure -challenging differences between occupations. Contact Dermatitis 2016;74:22-8.   Back to cited text no. 1
    
2.
Sekar CS, Srinivas CR, Jacob S. Aquagenic pruritus: Beneath wa­ter "lies". Indian J Dermatol 2011;56:446-7.   Back to cited text no. 2
[PUBMED]  Medknow Journal  
3.
Gallo R, Campisi CS, Agnoletti AF, Parodi A. Aquagenic urticaria recurring after epilation and contact with sea water. Contact Dermatitis 2015;73:313-4.  Back to cited text no. 3
    

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Correspondence Address:
Beuy Joob
Sanitation Medical Academic Center, Bangkok - 10160
Thailand
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1755-6783.184836

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