
From the title of my blog, you might think that I encounter a lot of sea lice in my line of work (hence my inclination to fashion a blog around our encounters.) Well, yes and no. I'm vexed by sea lice quite often in my field work, but not all sea lice are the same. I noticed a story in the news this morning about how sea lice (like the one in the image at the top of this post) are
widely distributed in wild fish stocks in Norway. While an interesting read, these aren't the same vexatious sea lice of my blog title. The sea lice to which I refer are the larval stage of Thimble jellies (
Linuche unguiculata) found primarily in Florida and Caribbean waters. The picture at the bottom of the post shows some adult Thimble jellies.

These larvae, generally half a millimeter in length, can find their way into bathing suits - even passing through the mesh of some suits - and become trapped against the skin. Pressed against bare skin, the jellies nematocysts fire and a series of stings result. The common symptoms include intensely itchy skin eruptions with small blisters and elevated areas of skin. Found primarily on parts of the body covered by swim wear, these lesions may also appear on the armpits and neck and occasionally on the arms and legs. Most divers and swimmers call it "sea lice." The term is a misnomer, however. A more accurate name for this condition is
Sea Bather's Eruptions (ewww). Nice image, huh? True sea lice, as in the article about Norwegian fish, are actually fish parasites, do not affect humans, and have nothing to do with the larvae of jellyfish.
I seem to be plagued by sea bather's eruptions (ewww) whenever I snorkel or dive in Caribbean waters. I suppose it's my fault for not taking more precautions, but it also seems to be a function of repeated exposure. Each occurrence seems to get a wee bit worse. I've heard of this sort of thing with people who get progressively worse afflictions with exposure to poison ivy or poison oak. But I don't really have anything beyond anecdotal evidence to indicate jelly-related sea lice afflictions as an aquatic analog.
April through July are the months when the jelly larvae are most prevalent in Caribbean waters, although they may appear at any time. The symptoms appear very soon (24 hours or less) after exposure to the organism and persist for several days. Some cases have been reported which have a three- or four-day delay in onset and a prolonged course lasting several weeks.
Symptoms may include fever, chills, headaches, nausea and vomiting. I've also seen severe afflictions in some adults (not me yet) that result in extreme swelling over large patches of affected area. One particularly nasty case I witnessed (across a woman's face) looked as if her skin was exposed to a second degree burn. It certainly was exacerbated by scratching, but it really looked like her face was melting. This individual eventually required a series of cortisone (steroid) injections.
Many of these cases of sea bather's eruption (ewww) will clear spontaneously, but others may require treatment. Antihistamines and antipruritic (anti-itching) agents may be used, but the results are not good in many cases. Children and individuals with allergies or diseases affecting the immune system may be at risk for severe reactions. Fortunately, the severe reaction is rare.

Prevention means adequate protection by wetsuit or impermeable dive skin. Snorkelers wearing T-shirts, and women wearing one-piece bathing suits are vulnerable because of the trapping action of the fabric. After diving or swimming in an area where the jelly larvae are present, it's best to remove the wetsuit, dive skin or bathing suit before showering since the fresh water may discharge the nematocysts trapped in the fabric. There have been reports of the condition recurring when the same bathing suit is worn again, suggesting that the larvae may remain in clothing.