{"id":11383155,"date":"2010-07-15T00:00:00","date_gmt":"2010-07-14T22:00:00","guid":{"rendered":"https:\/\/alertdiver.eu\/non-classifiee\/poids-imprevu\/"},"modified":"2010-07-15T00:00:00","modified_gmt":"2010-07-14T22:00:00","slug":"poids-imprevu","status":"publish","type":"post","link":"https:\/\/alertdiver.eu\/fr_FR\/articles\/poids-imprevu\/","title":{"rendered":"Poids impr\u00e9vu"},"content":{"rendered":"

Le plongeur<\/strong>
Il s’agit d’un homme \u00e2g\u00e9 en bonne sant\u00e9, qui consacre sa retraite \u00e0 parcourir le pays \u00e0 bord de son camping-car et \u00e0 plonger sur diff\u00e9rents sites de plong\u00e9e.<\/p>\n

Les plong\u00e9es<\/strong>
Ce jour-l\u00e0, le plongeur pr\u00e9sentait quelques probl\u00e8mes de flottabilit\u00e9 et remontait sans cesse vers la surface. Apr\u00e8s plusieurs essais vains pour rester pr\u00e8s du fond, voyant que ses efforts ne servaient qu’\u00e0 le fatiguer, il pla\u00e7a un morceau de corail dans sa combinaison humide (contre sa peau) en vue d’obtenir une flottabilit\u00e9 un peu plus n\u00e9gative.<\/p>\n

Les complications<\/strong>
Sans le savoir, il avait choisi un morceau de corail de feu. Le corail provoqua une r\u00e9action imm\u00e9diate dans la r\u00e9gion inf\u00e9rieure de son abdomen. Il d\u00e9veloppa des sympt\u00f4mes relativement typiques du corail de feu : des rougeurs, des d\u00e9mangeaisons extr\u00eames et une sensation de br\u00fblure. Il termina sa plong\u00e9e peu de temps apr\u00e8s afin de soulager ses sympt\u00f4mes en prenant une douche et en appliquant une cr\u00e8me topique pour les irritations.<\/p>\n

Les sympt\u00f4mes li\u00e9s au contact avec le corail de feu persist\u00e8rent n\u00e9anmoins de mani\u00e8re intermittente au cours des neuf mois qui suivirent. L’\u00e9ruption cutan\u00e9e \u00e9tait plus ou moins forte selon les moments, et les sensations de d\u00e9mangeaison et de br\u00fblure devenaient parfois intol\u00e9rables. Au bout de cette p\u00e9riode, il ne nota gu\u00e8re d’am\u00e9lioration significative. Il d\u00e9cida donc de contacter DAN afin d’obtenir des conseils.<\/p>\n

La l\u00e9sion<\/strong>
Le corail de feu est un animal vivant, que l’on trouve typiquement dans les eaux tropicales ou sous-tropicales. Le terme de « corail » lui a \u00e9t\u00e9 attribu\u00e9 en raison de son aspect similaire au corail de r\u00e9cif. Bien que le vrai corail et le corail de feu se rattachent tous deux \u00e0 l’embranchement des cnidaires et soient tous deux compos\u00e9s de n\u00e9matocystes, les vrais coraux font partie de la famille des anthozoaires tandis que le corail de feu appartient aux hydrozoaires. Le corail de feu  est plus proche des m\u00e9duses et autres an\u00e9mones urticantes que des anthozoaires (b\u00e2tisseurs de r\u00e9cifs), que l’on appelle commun\u00e9ment des coraux.<\/p>\n

Le squelette du corail de feu est couvert de pores d’o\u00f9 \u00e9mergent des tentacules recouverts de n\u00e9matocystes (cellules urticantes) qui produisent la sensation typique de br\u00fblure en cas de contact. Le corail de feu peut se pr\u00e9senter dans diff\u00e9rentes tailles et formes : il peut ressembler tant\u00f4t \u00e0 des bois de cerf, tant\u00f4t \u00e0 de larges lames, tant\u00f4t \u00e0 de petites bo\u00eetes.<\/p>\n

Les r\u00e9actions<\/strong>
Les pointes ac\u00e9r\u00e9es du corail peuvent provoquer des coupures, par lesquelles peuvent s’introduire des fragments de corail couverts de petites bact\u00e9ries, ainsi que les toxines lib\u00e9r\u00e9es par les n\u00e9matocystes. Il s’ensuit g\u00e9n\u00e9ralement une r\u00e9action inflammatoire dans les premi\u00e8res 10 \u00e0 15 minutes, que les gens d\u00e9crivent comme une sensation de br\u00fblure, comme si leur peau avait pris feu.<\/p>\n

Ces toxines peuvent en outre produire des gonflements, des d\u00e9mangeaisons, un ramollissement des tissus et un allongement de la dur\u00e9e de cicatrisation de la plaie. Ces ulc\u00e9rations peuvent s’infecter et requ\u00e9rir l’attention d’un m\u00e9decin ainsi que la prise d’antibiotiques. Si la piq\u00fbre du corail n’est pas soign\u00e9e correctement, certains sympt\u00f4mes comme l’inflammation peuvent durer de plusieurs jours \u00e0 plusieurs mois.<\/p>\n

Le plongeur peut \u00e9galement pr\u00e9senter une r\u00e9ponse syst\u00e9mique \u00e0 l’infection due \u00e0 la piq\u00fbre de corail de feu, se traduisant par un ramollissement des ganglions lymphatiques et des douleurs articulaires. D’autres sympt\u00f4mes peuvent \u00e9galement \u00eatre pr\u00e9sents, tels que des vomissements, de la fi\u00e8vre, des frissons ou de la fatigue.<\/p>\n

Selon le Dr Carl Edmonds, auteur de l’ouvrage intitul\u00e9 « Dangerous Marine Creatures » (Cr\u00e9atures marines dangereuses), des cas de sympt\u00f4mes neuropsychologiques, comme l’anxi\u00e9t\u00e9, la d\u00e9pression, l’insomnie, la faiblesse et l’apathie, ont \u00e9t\u00e9 rapport\u00e9s. Le Dr Edmonds a indiqu\u00e9 que la gravit\u00e9 des sympt\u00f4mes d\u00e9pendait de l’importance de l’envenimation, des esp\u00e8ces impliqu\u00e9es et des ant\u00e9c\u00e9dents m\u00e9dicaux de la victime de la piq\u00fbre.<\/p>\n

Les traitements<\/strong>
Dans un premier temps, les piq\u00fbres de corail de feu peuvent \u00eatre soign\u00e9es au vinaigre (acide ac\u00e9tique) ou \u00e0 la p\u00e2te de bicarbonate de soude en l’absence de vinaigre. (Il n’est toutefois pas recommand\u00e9 d’utiliser ces deux produits simultan\u00e9ment.) Tous deux peuvent att\u00e9nuer la sensation de br\u00fblure due aux n\u00e9matocystes.<\/p>\n

Une cr\u00e8me hydrocortisone sans ordonnance peut aider \u00e0 all\u00e9ger les r\u00e9actions moins importantes comme l’inflammation ou les rougeurs. En cas de r\u00e9action plus s\u00e9v\u00e8re ou persistante, la prise de prednisone par voie orale peut \u00eatre n\u00e9cessaire pour soulager les sympt\u00f4mes. Ce m\u00e9dicament requiert toutefois une ordonnance. Dans son ouvrage intitul\u00e9 « A Medical Guide to Hazardous Marine Life » (Un guide m\u00e9dical aux organismes marins dangereux), le Dr Paul Auerbach recommande de ne pas utiliser d’alcool d\u00e9natur\u00e9 (par ex. l’apr\u00e8s-rasage), de solutions aqueuses ou de solvants organiques comme le k\u00e9ros\u00e8ne, la t\u00e9r\u00e9benthine ou l’essence. Dans le guide DAN des questions m\u00e9dicales fr\u00e9quemment pos\u00e9es, le Dr Auerbach recommande par ailleurs de proc\u00e9der \u00e0 un nettoyage initial de la l\u00e9sion provoqu\u00e9e par le corail \u00e0 l’aide d’eau et de savon, puis \u00e0 l’application de n\u00e9omycine (N\u00e9osporine®) afin de r\u00e9duire le risque d’infection. Toutefois, en cas d’infection, une attention m\u00e9dicale est vivement recommand\u00e9e. Certains types de bact\u00e9ries que l’on rencontre fr\u00e9quemment dans les milieux marins peuvent s’accompagner de risques \u00e9lev\u00e9s d’infection, en particulier chez les personnes dont le syst\u00e8me immunitaire est affaibli.<\/p>\n","protected":false},"excerpt":{"rendered":"

Le plongeurIl s’agit d’un homme \u00e2g\u00e9 en bonne sant\u00e9, qui consacre sa retraite \u00e0 parcourir le pays \u00e0 bord de son camping-car et \u00e0 plonger…<\/p>\n","protected":false},"author":1,"featured_media":11373903,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[386],"tags":[],"authors":[1311],"class_list":["post-11383155","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-articles","authors-laurie-gowen-fr_fr"],"acf":[],"yoast_head":"\nPoids impr\u00e9vu - Alert Diver<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/alertdiver.eu\/fr_FR\/articles\/poids-imprevu\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Poids impr\u00e9vu - 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