A unique case of a 70-hour decompression sickness latency

Kovačević, Hasan; Marković, Julijana Franinović

doi:10.2478/aiht-2018-69-3174

Abstract

We report a unique and well-documented case of a type II decompression sickness (DCS) with a latency interval of 70 hours. It may raise divers’ awareness and help medical practitioners to keep suspect divers under close observation longer than before and identify and treat DCS accordingly.

References

1. Vann RD, Butler FK, Mitchell SJ, Moon RE. Decompression illness. The Lancet 2011;377:153-64. doi 10.1016/S0140-6736(10)61085-910.1016/S0140-6736(10)61085-9
Open DOI Search in Google Scholar Back to article
2. US Navy Supervisor of Diving. US Navy Diving manual, revision 6. Vol. 5. Washington (DC): US Naval Sea Systems Command; 2008 p. 20-25.
Search in Google Scholar Back to article
3. Francis TJR, Pearson RR, Robertson AG, Hodgson M, Dutka AJ, Flynn ET. Central nervous system decompression sickness: latency of 1070 human cases. Undersea Biomed Res 1989;6(15):403-17. PMID: 3067433
Search in Google Scholar Back to article
4. Desola AJ, San Pedro AG. Epidemiological study of 146 dysbaric diving accidents. In: Desola AJ, ed. Diving and hyperbaric medicine. Proceedings of the IX Congress of the European Undersea Biomedical Society, 1984. Barcelona: 1984. p. 117.
Search in Google Scholar Back to article
5. Kovačević H, Gošović S, Denoble P, Živković M, Andrić D. Iskustva u liječenju 154 slučaja dekompresione bolesti nastala u standardnom ronjenju zrakom od 1967. do 1988. godine [Experiences from treating 154 patients with decompression sickness developed after regular scuba diving between 1967 and 1988, in Croatian]. In: Agolli B, ed. Pomorska medicina (vol. V). Mornarički glasnik 1990;39:269-77.
Search in Google Scholar Back to article
6. Elliott DH. Decompression sickness. In: Kindwall EP, ed. Hyperbaric Medicine Practice. Flagstaff (AZ): Best Publishing Company; 1995. p. 311-26.
Search in Google Scholar Back to article
7. Goldstein LB, Bushnell CD, Adams RJ, Appel LJ, Braun LT, Chaturvedi S, Creager MA, Culebras A, Eckel RH, Hart RG, Hinchey JA, Howard VJ, Jauch EC, Levine SR, Meschia JF, Moore WS, Nixon JV, Pearson TA. Guidelines for the primary prevention of stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2011;42:517-84. doi: 10.1161/STR.0b013e3181fcb238
Open DOI Search in Google Scholar Back to article
8. Poser CM, Paty DW, Scheinberg L, McDonald WI, Davis FA, Ebers GC, Johnson KP, Sibley WA, Silberberg DH, Tourtellotte WW. New diagnostic criteria for multiple sclerosis: guidelines for research protocols. Ann Neurol 1983;13:227-31. doi: 10.1002/ana.4101303026847134
Open DOI Search in Google Scholar Back to article
9. McDonald WI, Compston A, Edan G, Goodkin D, Hartung HP, Lublin FD, McFarland HF, Paty DW, Polman CH, Reingold SC, Sandberg-Wollheim M, Sibley W, Thompson A, van den Noort S, Weinshenker BY, Wolinsky JS. Recommended diagnostic criteria for multiple sclerosis: guidelines from the International Panel on the diagnosis of multiple sclerosis. Ann Neurol 2001;50:121-7. PMID: 1145630210.1002/ana.103211456302
Search in Google Scholar Back to article
10. Polman CH, Reingold SC, Banwell B, Clanet M, Cohen JA, Filippi M, Fujihara K, Havrdova E, Hutchinson M, Kappos L, Lublin FD, Montalban X, O’Connor P, Sandberg-Wollheim M, Thompson AJ, Waubant E, Weinshenker B, Wolinsky JS. Diagnostic criteria for multiple sclerosis: 2010 revisions to the McDonald criteria. Ann Neurol 2011;69:292-302. doi: 10.1002/ana.22366
Open DOI Search in Google Scholar Back to article
11. Miller DH1, Weinshenker BG, Filippi M, Banwell BL, Cohen JA, Freedman MS, Galetta SL, Hutchinson M, Johnson RT, Kappos L, Kira J, Lublin FD, McFarland HF, Montalban X, Panitch H, Richert JR, Reingold SC, Polman CH. Differential diagnosis of suspected multiple sclerosis: a consensus approach. Mult Scler 2008;14:1157-74. doi: 10.1177/1352458508096878
Open DOI Search in Google Scholar Back to article
12. Xu W, Liu W, Huang G, Zou Z, Cai Z, Xu W. Decompression illness: clinical aspects of 5278 consecutive cases treated in a single hyperbaric unit. PLoS One. 2012;7(11):e50079. doi: 10.1371/journal.pone.0050079
Open DOI Search in Google Scholar Back to article
13. Rivera JC. Decompression sickness among divers: an analysis of 935 cases. Mil Med 1964;129:314-34. PMID: 1416923310.1093/milmed/129.4.314
Search in Google Scholar Back to article
14. Hadanny A, Fishlev G, Bechor Y, Bergan J, Friedman M, Maliar A, Efrati S. Delayed recompression for decompression sickness: retrospective analysis. PLoS One 2015;10(4): e0124919. doi:10.1371/journal.pone.0124919 April 23, 2015
Open DOI Search in Google Scholar Back to article
15. Wilmhurst P, Bryson P. Relationship between the clinical features of neurological decompression illness and its causes. Clin Sci 2000;99:65-75.10.1042/cs0990065
Open DOI Search in Google Scholar Back to article
16. Haas RM, Hannam JA, Sames C, Schmidt R, Tyson A, Francombe M, Richardson D, Mitchell SJ. Decompression illness in divers treated in Auckland, New Zealand, 1996-2012. Diving Hyperb Med 2014;44:20-5. PMID: 24687481.
Search in Google Scholar Back to article

A unique case of a 70-hour decompression sickness latency

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