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Chironex fleckeri

January 31, 2023

Chironex fleckeri, commonly known as the Australian box jelly, and nicknamed the sea wasp, is a species of extremely venomous box jellyfish found in coastal waters from northern Australia and New Guinea to Malaysia, the Philippines and Vietnam.[1] It has been described as "the most lethal jellyfish in the world", with at least 64 known deaths in Australia from 1884 to 2021.[2]

Chironex fleckeri
Chironex sp.
Scientific classification
Kingdom: Animalia
Phylum: Cnidaria
Class: Cubozoa
Order: Chirodropida
Family: Chirodropidae
Genus: Chironex
Species:
C. fleckeri
Binomial name
Chironex fleckeri
Southcott, 1956
Range of Chironex fleckeri as traditionally defined, but see text.

Notorious for its sting, C. fleckeri has tentacles up to 3 m (10 ft) long covered with millions of cnidocytes which, on contact, release microscopic darts delivering an extremely powerful venom. Being stung commonly results in excruciating pain, and if the sting area is significant, an untreated victim may die in two to five minutes.[3] The amount of venom in one animal is said to be enough to kill 60 adult humans.[4]

Taxonomy

Chironex fleckeri was named after North Queensland toxicologist and radiologist Doctor Hugo Flecker.[5] "On January 20, 1955, when a 5-year-old boy died after being stung in shallow water at Cardwell, North Queensland, Flecker found three types of jellyfish. One was an unidentified box-shaped jellyfish with groups of tentacles arising from each corner. Flecker sent it to Dr. Ronald Southcott in Adelaide, and on December 29, 1955, Southcott published his article introducing it as a new genus and species of lethal box jellyfish. He named it Chironex fleckeri, the name being derived from the centaur Chiron in Greek mythology, the Latin nex meaning "murder", and "fleckeri" in honour of its discoverer.[6]

Description

 
Cnidocytes from Chironex fleckeri (400x magnification)

Chironex fleckeri is the largest of the cubozoans (collectively called box jellyfish), many of which may carry similarly toxic venom. Its bell usually reaches about 16 cm in diameter but can grow up to 35 cm.[7] From each of the four corners of the bell trails a cluster of 15 tentacles.[4] The pale blue bell has faint markings; viewed from certain angles, it bears a somewhat eerie resemblance to a human head or skull. Since it is virtually transparent, the creature is nearly impossible to see in its habitat, posing significant danger to swimmers.

When the jellyfish are swimming, the tentacles contract so they are about 150 mm (5.9 in) long and about 5 mm (0.20 in) in diameter; when they are hunting, the tentacles are thinner and extend to about 3 m (9.8 ft) long. The tentacles are covered with a high concentration of stinging cells called cnidocytes, which are activated by pressure and a chemical trigger; they react to proteinous chemicals. Box jellyfish are day hunters; at night they are seen resting on the ocean floor.

In common with other box jellyfish, C. fleckeri has four eye-clusters with 24 eyes. Some of these eyes seem capable of forming images, but whether they exhibit any object recognition or object tracking is debated; it is also unknown how they process information from their sense of touch and eye-like light-detecting structures due to their lack of a central nervous system. They are attracted to light of different colors (white, red, orange, yellow, green and blue), but blue light seems to elicit a feeding behavior, as it slows down their pulsation rate and makes them stream out their tentacles.[8] Black objects, on the other hand, cause them to move away.[7]

Chironex fleckeri lives on a diet of prawns and small fish[7] and are prey to turtles, whose thick skin is impenetrable to the cnidocytes of the jellyfish.

Distribution and habitat

The medusa is pelagic and has been documented from coastal waters of Australia and New Guinea north to the Philippines and Vietnam.[1] In Australia, it is known from the northern coasts from Exmouth to Agnes Water, but its full distribution outside Australia has not been properly identified.[1] To further confuse, the closely related and also dangerously venomous Chironex yamaguchii was first described from Japan in 2009.[9] This species has also been documented from the Philippines,[9] meaning the non-Australian records of C. fleckeri need to be rechecked. Breeding occurs in lower levels of rivers and mangrove channels.[10][11]

 
Box jellyfish warning signpost at a Cape Tribulation beach in Queensland, Australia

Sting

Chironex fleckeri is best known for its extremely powerful and occasionally fatal "sting". The sting can produce an excruciating pain accompanied by an intense burning sensation, like being branded with a red hot iron. In Australia, fatalities are most often caused by the larger specimens of C. fleckeri.

In Australia, C. fleckeri has caused at least 64 deaths since the first report in 1883,[12] but most encounters appear to result only in mild envenomation.[13] Among 225 analyzed C. fleckeri stings in Australia's Top End from 1991 to 2004, only 8% required hospital admission, 5% received antivenom and there was a single fatality (a 3-year-old child).[4] 26% experienced severe pain, while it was moderate to none in the remaining.[4] Most deaths in recent decades have been children, as their smaller body mass puts them at a higher risk of fatal envenomation.[12] When people do die, it is usually caused by a cardiac arrest occurring within minutes of the sting.[4] It takes approximately 3 m (10 ft) of tentacle to deliver the fatal dose.[14]

The venom causes cells to become porous enough to allow potassium leakage, causing hyperkalemia, which can lead to cardiovascular collapse and death as quickly as within two to five minutes with an LD50 of 0.04 mg/kg. It was postulated that a zinc compound may be developed as an antidote.[15] Occasionally, swimmers who get stung will undergo cardiac arrest or drown before they can even get back to the shore or boat.

Chironex fleckeri and other jellyfish, including the Irukandji (Carukia barnesi), are abundant in the waters of northern Australia during the warmer months of the year. They are believed to drift into estuaries to breed.[16] Signs like the one pictured are erected along the coast of North Queensland to warn people of such, and few people swim during this period. Some people still do, however, putting themselves at great risk. At popular swimming spots, net enclosures are placed out in the water wherein people can swim but jellyfish cannot get in, keeping swimmers safe.[17]

History of sting treatment

Until 2005, treatment involved using pressure immobilisation bandages, with the aim of preventing distribution of the venom through the lymph and blood circulatory systems. This treatment is no longer recommended by health authorities,[18] due to research which showed that using bandages to achieve tissue compression provoked nematocyst discharge.[19]

The application of vinegar is recommended treatment because vinegar (4–6% acetic acid) permanently deactivates undischarged nematocysts, preventing them from opening and releasing venom.[20] A 2014 study demonstrated in vitro that while vinegar deactivates unfired nematocysts, there was also an increase in venom concentration in the solution, possibly by causing already-fired nematocysts (which still contain some venom) to release what remained.[21] However, this study has been criticized on several methodological grounds, including that the experiment was done using a model membrane that is much different from (and more simple than) human skin. Also, the researchers did not determine whether the increase in venom concentration was caused by already-discharged nematocysts releasing more venom, or if the venom that was released initially had simply leaked back out through the membrane, thus confounding the concentration measurement.[22] Despite these concerns, diluted acetic acid is still the recommended treatment.[23]

References

  1. ^ a b c Fenner, P. J. (2000). Chironex fleckeri – the north Australian box-jellyfish. marine-medic.com
  2. ^ Fenner PJ, Williamson JA (1996). . The Medical Journal of Australia. 165 (11–12): 658–61. doi:10.5694/j.1326-5377.1996.tb138679.x. PMID 8985452. S2CID 45032896. Archived from the original on 25 February 2012. The chirodropid Chironex fleckeri is known to be the most lethal jellyfish in the world, and has caused at least 63 recorded deaths in tropical Australian waters off Queensland and the Northern Territory since 1884
  3. ^ Biology, 7ed. Campell & Reece[page needed]
  4. ^ a b c d e Currie, B.J.; Jacups, S.P. (2005). "Prospective study of Chironex fleckeri and other box jellyfish stings in the "Top End" of Australia's Northern Territory". Med J Aust. 183 (11): 631–636. doi:10.5694/j.1326-5377.2005.tb00062.x. PMID 16336157. S2CID 12723307.
  5. ^ "Flecker, Hugo (1884–1957)". Australian Dictionary of Biography. National Centre of Biography, Australian National University.
  6. ^ Robinson, Lily (1 June 2009). "Lily Robinson and Death Outside the Box: Recollections". Clinical Chemistry. 55 (6): 1256–1257. doi:10.1373/clinchem.2009.128009. eISSN 1530-8561. ISSN 0009-9147.
  7. ^ a b c Hamner, WM; Jones, MS; Hamner, PP (1995). "Swimming, feeding, circulation and vision in the Australian box jellyfish, Chironex fleckeri (Cnidaria:Cubozoa)". Marine and Freshwater Research. 46 (7): 985. doi:10.1071/MF9950985. ISSN 1323-1650.
  8. ^ Gershwin, Lisa-ann; Dawes, Peter (August 2008). "Preliminary Observations on the Response of Chironex fleckeri (Cnidaria: Cubozoa: Chirodropida) to Different Colors of Light". The Biological Bulletin. 215 (1): 57–62. doi:10.2307/25470683. eISSN 1939-8697. ISSN 0006-3185. JSTOR 25470683. PMID 18723637. S2CID 10513457.
  9. ^ a b Lewis, C.; Bentlage, B. (2009). "Clarifying the identity of the Japanese Habu-kurage, Chironex yamaguchii, sp nov (Cnidaria: Cubozoa: Chirodropidae)". Zootaxa. 2030: 59–65. doi:10.11646/zootaxa.2030.1.5.
  10. ^ Hamner, W. (1994). "Australia's box jellyfish: a killer down under". National Geographic. 186 (2): 116–130.
  11. ^ Hartwick, R. F. (1991). "Distributional ecology and behaviour of the early life stages of the box-jellyfish Chironex fleckeri". Coelenterate Biology: Recent Research on Cnidaria and Ctenophora. Springer Netherlands. pp. 181–188. doi:10.1007/978-94-011-3240-4_25. ISBN 978-94-010-5428-7.
  12. ^ a b Northern Territory Government (2008). Department of Health and Families. Chironex fleckeri. 2016-07-09 at the Wayback Machine. Centre for Disease Control.
  13. ^ Daubert, G. P. (2008). Cnidaria Envenomation. eMedicine.
  14. ^ Carwardine, Mark; England), Natural History Museum (London (2008). Animal Records. Sterling Publishing Company, Inc. ISBN 978-1-4027-5623-8.
  15. ^ Yanagihara, Angel A.; Shohet, Ralph V. (12 December 2012). "Cubozoan Venom-Induced Cardiovascular Collapse Is Caused by Hyperkalemia and Prevented by Zinc Gluconate in Mice". PLOS ONE. 7 (12): e51368. Bibcode:2012PLoSO...751368Y. doi:10.1371/journal.pone.0051368. eISSN 1932-6203. PMC 3520902. PMID 23251508.
  16. ^ Gordon, Matthew; Seymour, Jamie (27 February 2012). "Growth, Development and Temporal Variation in the Onset of Six Chironex fleckeri Medusae Seasons: A Contribution to Understanding Jellyfish Ecology". PLOS ONE. 7 (2): e31277. Bibcode:2012PLoSO...731277G. doi:10.1371/journal.pone.0031277. eISSN 1932-6203. PMC 3287992. PMID 22384009.
  17. ^ Fenner, PJ; Harrison, Simone L. (2000). "Irukandji and Chironex fleckeri jellyfish envenomation in tropical Australia". Wilderness & Environmental Medicine. 11 (4): 233–240. doi:10.1580/1080-6032(2000)011[0233:IACFJE]2.3.CO;2. PMID 11199527.
  18. ^ Queensland Government (2008). Pressure Immobilisation Technique Queensland Health
  19. ^ Seymour et al. The use of pressure immobilization bandages in the first aid management of cubozoan envenomings Toxicon 2002
  20. ^ Hartwick, R; Callanan V; Williamson J. (1980). "Disarming the box-jellyfish: nematocyst inhibition in Chironex fleckeri". The Medical Journal of Australia. 1 (1): 15–20. doi:10.5694/j.1326-5377.1980.tb134566.x. PMID 6102347. S2CID 204054168.
  21. ^ Welfare, P; Little, M; Pereira, P; Seymour, J (Mar 2014). "An in-vitro examination of the effect of vinegar on discharged nematocysts of Chironex fleckeri". Diving and Hyperbaric Medicine. 44 (1): 30–4. PMID 24687483.
  22. ^ Wilcox, Christie (9 April 2014). "Should we stop using vinegar to treat box jelly stings? Not yet—Venom experts weigh in on recent study". Science Sushi. Discover Magazine Blogs. Retrieved 2015-04-26.
  23. ^ Calligeros, Marissa (9 April 2014). "Vinegar still best for box jellyfish stings says top doctor". Brisbane Times. Retrieved 28 September 2022.

External links

 
Wikimedia Commons has media related to Chironex fleckeri.
  • Beadnell CE, Rider TA, Williamson JA, Fenner PJ (May 1992). "Management of a major box jellyfish (Chironex fleckeri) sting. Lessons from the first minutes and hours". The Medical Journal of Australia. 156 (9): 655–8. doi:10.5694/j.1326-5377.1992.tb121467.x. PMID 1352619. S2CID 36741049.
  • Barry Tobin (16 March 2010). "Dangerous Marine Animals of Northern Australia: Sea Wasp". AIMS Data Centre. Australian Institute of Marine Science. Retrieved 2010-09-22.
  • Distribution of Box Jellyfish in Australia

January 31, 2023
chironex, fleckeri, commonly, known, australian, jelly, nicknamed, wasp, species, extremely, venomous, jellyfish, found, coastal, waters, from, northern, australia, guinea, malaysia, philippines, vietnam, been, described, most, lethal, jellyfish, world, with, . Chironex fleckeri commonly known as the Australian box jelly and nicknamed the sea wasp is a species of extremely venomous box jellyfish found in coastal waters from northern Australia and New Guinea to Malaysia the Philippines and Vietnam 1 It has been described as the most lethal jellyfish in the world with at least 64 known deaths in Australia from 1884 to 2021 2 Chironex fleckeriChironex sp Scientific classificationKingdom AnimaliaPhylum CnidariaClass CubozoaOrder ChirodropidaFamily ChirodropidaeGenus ChironexSpecies C fleckeriBinomial nameChironex fleckeriSouthcott 1956Range of Chironex fleckeri as traditionally defined but see text Notorious for its sting C fleckeri has tentacles up to 3 m 10 ft long covered with millions of cnidocytes which on contact release microscopic darts delivering an extremely powerful venom Being stung commonly results in excruciating pain and if the sting area is significant an untreated victim may die in two to five minutes 3 The amount of venom in one animal is said to be enough to kill 60 adult humans 4 Contents 1 Taxonomy 2 Description 3 Distribution and habitat 4 Sting 5 History of sting treatment 6 References 7 External linksTaxonomy EditChironex fleckeri was named after North Queensland toxicologist and radiologist Doctor Hugo Flecker 5 On January 20 1955 when a 5 year old boy died after being stung in shallow water at Cardwell North Queensland Flecker found three types of jellyfish One was an unidentified box shaped jellyfish with groups of tentacles arising from each corner Flecker sent it to Dr Ronald Southcott in Adelaide and on December 29 1955 Southcott published his article introducing it as a new genus and species of lethal box jellyfish He named it Chironex fleckeri the name being derived from the centaur Chiron in Greek mythology the Latin nex meaning murder and fleckeri in honour of its discoverer 6 Description Edit Cnidocytes from Chironex fleckeri 400x magnification Chironex fleckeri is the largest of the cubozoans collectively called box jellyfish many of which may carry similarly toxic venom Its bell usually reaches about 16 cm in diameter but can grow up to 35 cm 7 From each of the four corners of the bell trails a cluster of 15 tentacles 4 The pale blue bell has faint markings viewed from certain angles it bears a somewhat eerie resemblance to a human head or skull Since it is virtually transparent the creature is nearly impossible to see in its habitat posing significant danger to swimmers When the jellyfish are swimming the tentacles contract so they are about 150 mm 5 9 in long and about 5 mm 0 20 in in diameter when they are hunting the tentacles are thinner and extend to about 3 m 9 8 ft long The tentacles are covered with a high concentration of stinging cells called cnidocytes which are activated by pressure and a chemical trigger they react to proteinous chemicals Box jellyfish are day hunters at night they are seen resting on the ocean floor In common with other box jellyfish C fleckeri has four eye clusters with 24 eyes Some of these eyes seem capable of forming images but whether they exhibit any object recognition or object tracking is debated it is also unknown how they process information from their sense of touch and eye like light detecting structures due to their lack of a central nervous system They are attracted to light of different colors white red orange yellow green and blue but blue light seems to elicit a feeding behavior as it slows down their pulsation rate and makes them stream out their tentacles 8 Black objects on the other hand cause them to move away 7 Chironex fleckeri lives on a diet of prawns and small fish 7 and are prey to turtles whose thick skin is impenetrable to the cnidocytes of the jellyfish Distribution and habitat EditThe medusa is pelagic and has been documented from coastal waters of Australia and New Guinea north to the Philippines and Vietnam 1 In Australia it is known from the northern coasts from Exmouth to Agnes Water but its full distribution outside Australia has not been properly identified 1 To further confuse the closely related and also dangerously venomous Chironex yamaguchii was first described from Japan in 2009 9 This species has also been documented from the Philippines 9 meaning the non Australian records of C fleckeri need to be rechecked Breeding occurs in lower levels of rivers and mangrove channels 10 11 Box jellyfish warning signpost at a Cape Tribulation beach in Queensland AustraliaSting EditChironex fleckeri is best known for its extremely powerful and occasionally fatal sting The sting can produce an excruciating pain accompanied by an intense burning sensation like being branded with a red hot iron In Australia fatalities are most often caused by the larger specimens of C fleckeri In Australia C fleckeri has caused at least 64 deaths since the first report in 1883 12 but most encounters appear to result only in mild envenomation 13 Among 225 analyzed C fleckeri stings in Australia s Top End from 1991 to 2004 only 8 required hospital admission 5 received antivenom and there was a single fatality a 3 year old child 4 26 experienced severe pain while it was moderate to none in the remaining 4 Most deaths in recent decades have been children as their smaller body mass puts them at a higher risk of fatal envenomation 12 When people do die it is usually caused by a cardiac arrest occurring within minutes of the sting 4 It takes approximately 3 m 10 ft of tentacle to deliver the fatal dose 14 The venom causes cells to become porous enough to allow potassium leakage causing hyperkalemia which can lead to cardiovascular collapse and death as quickly as within two to five minutes with an LD50 of 0 04 mg kg It was postulated that a zinc compound may be developed as an antidote 15 Occasionally swimmers who get stung will undergo cardiac arrest or drown before they can even get back to the shore or boat Chironex fleckeri and other jellyfish including the Irukandji Carukia barnesi are abundant in the waters of northern Australia during the warmer months of the year They are believed to drift into estuaries to breed 16 Signs like the one pictured are erected along the coast of North Queensland to warn people of such and few people swim during this period Some people still do however putting themselves at great risk At popular swimming spots net enclosures are placed out in the water wherein people can swim but jellyfish cannot get in keeping swimmers safe 17 History of sting treatment EditUntil 2005 treatment involved using pressure immobilisation bandages with the aim of preventing distribution of the venom through the lymph and blood circulatory systems This treatment is no longer recommended by health authorities 18 due to research which showed that using bandages to achieve tissue compression provoked nematocyst discharge 19 The application of vinegar is recommended treatment because vinegar 4 6 acetic acid permanently deactivates undischarged nematocysts preventing them from opening and releasing venom 20 A 2014 study demonstrated in vitro that while vinegar deactivates unfired nematocysts there was also an increase in venom concentration in the solution possibly by causing already fired nematocysts which still contain some venom to release what remained 21 However this study has been criticized on several methodological grounds including that the experiment was done using a model membrane that is much different from and more simple than human skin Also the researchers did not determine whether the increase in venom concentration was caused by already discharged nematocysts releasing more venom or if the venom that was released initially had simply leaked back out through the membrane thus confounding the concentration measurement 22 Despite these concerns diluted acetic acid is still the recommended treatment 23 References Edit a b c Fenner P J 2000 Chironex fleckeri the north Australian box jellyfish marine medic com Fenner PJ Williamson JA 1996 Worldwide deaths and severe envenomation from jellyfish stings The Medical Journal of Australia 165 11 12 658 61 doi 10 5694 j 1326 5377 1996 tb138679 x PMID 8985452 S2CID 45032896 Archived from the original on 25 February 2012 The chirodropid Chironex fleckeri is known to be the most lethal jellyfish in the world and has caused at least 63 recorded deaths in tropical Australian waters off Queensland and the Northern Territory since 1884 Biology 7ed Campell amp Reece page needed a b c d e Currie B J Jacups S P 2005 Prospective study of Chironex fleckeri and other box jellyfish stings in the Top End of Australia s Northern Territory Med J Aust 183 11 631 636 doi 10 5694 j 1326 5377 2005 tb00062 x PMID 16336157 S2CID 12723307 Flecker Hugo 1884 1957 Australian Dictionary of Biography National Centre of Biography Australian National University Robinson Lily 1 June 2009 Lily Robinson and Death Outside the Box Recollections Clinical Chemistry 55 6 1256 1257 doi 10 1373 clinchem 2009 128009 eISSN 1530 8561 ISSN 0009 9147 a b c Hamner WM Jones MS Hamner PP 1995 Swimming feeding circulation and vision in the Australian box jellyfish Chironex fleckeri Cnidaria Cubozoa Marine and Freshwater Research 46 7 985 doi 10 1071 MF9950985 ISSN 1323 1650 Gershwin Lisa ann Dawes Peter August 2008 Preliminary Observations on the Response of Chironex fleckeri Cnidaria Cubozoa Chirodropida to Different Colors of Light The Biological Bulletin 215 1 57 62 doi 10 2307 25470683 eISSN 1939 8697 ISSN 0006 3185 JSTOR 25470683 PMID 18723637 S2CID 10513457 a b Lewis C Bentlage B 2009 Clarifying the identity of the Japanese Habu kurage Chironex yamaguchii sp nov Cnidaria Cubozoa Chirodropidae Zootaxa 2030 59 65 doi 10 11646 zootaxa 2030 1 5 Hamner W 1994 Australia s box jellyfish a killer down under National Geographic 186 2 116 130 Hartwick R F 1991 Distributional ecology and behaviour of the early life stages of the box jellyfish Chironex fleckeri Coelenterate Biology Recent Research on Cnidaria and Ctenophora Springer Netherlands pp 181 188 doi 10 1007 978 94 011 3240 4 25 ISBN 978 94 010 5428 7 a b Northern Territory Government 2008 Department of Health and Families Chironex fleckeri Archived 2016 07 09 at the Wayback Machine Centre for Disease Control Daubert G P 2008 Cnidaria Envenomation eMedicine Carwardine Mark England Natural History Museum London 2008 Animal Records Sterling Publishing Company Inc ISBN 978 1 4027 5623 8 Yanagihara Angel A Shohet Ralph V 12 December 2012 Cubozoan Venom Induced Cardiovascular Collapse Is Caused by Hyperkalemia and Prevented by Zinc Gluconate in Mice PLOS ONE 7 12 e51368 Bibcode 2012PLoSO 751368Y doi 10 1371 journal pone 0051368 eISSN 1932 6203 PMC 3520902 PMID 23251508 Gordon Matthew Seymour Jamie 27 February 2012 Growth Development and Temporal Variation in the Onset of Six Chironex fleckeri Medusae Seasons A Contribution to Understanding Jellyfish Ecology PLOS ONE 7 2 e31277 Bibcode 2012PLoSO 731277G doi 10 1371 journal pone 0031277 eISSN 1932 6203 PMC 3287992 PMID 22384009 Fenner PJ Harrison Simone L 2000 Irukandji and Chironex fleckeri jellyfish envenomation in tropical Australia Wilderness amp Environmental Medicine 11 4 233 240 doi 10 1580 1080 6032 2000 011 0233 IACFJE 2 3 CO 2 PMID 11199527 Queensland Government 2008 Pressure Immobilisation Technique Queensland Health Seymour et al The use of pressure immobilization bandages in the first aid management of cubozoan envenomings Toxicon 2002 Hartwick R Callanan V Williamson J 1980 Disarming the box jellyfish nematocyst inhibition in Chironex fleckeri The Medical Journal of Australia 1 1 15 20 doi 10 5694 j 1326 5377 1980 tb134566 x PMID 6102347 S2CID 204054168 Welfare P Little M Pereira P Seymour J Mar 2014 An in vitro examination of the effect of vinegar on discharged nematocysts of Chironex fleckeri Diving and Hyperbaric Medicine 44 1 30 4 PMID 24687483 Wilcox Christie 9 April 2014 Should we stop using vinegar to treat box jelly stings Not yet Venom experts weigh in on recent study Science Sushi Discover Magazine Blogs Retrieved 2015 04 26 Calligeros Marissa 9 April 2014 Vinegar still best for box jellyfish stings says top doctor Brisbane Times Retrieved 28 September 2022 External links Edit Wikimedia Commons has media related to Chironex fleckeri Beadnell CE Rider TA Williamson JA Fenner PJ May 1992 Management of a major box jellyfish Chironex fleckeri sting Lessons from the first minutes and hours The Medical Journal of Australia 156 9 655 8 doi 10 5694 j 1326 5377 1992 tb121467 x PMID 1352619 S2CID 36741049 Barry Tobin 16 March 2010 Dangerous Marine Animals of Northern Australia Sea Wasp AIMS Data Centre Australian Institute of Marine Science Retrieved 2010 09 22 Distribution of Box Jellyfish in Australia Retrieved from https en wikipedia org w index php title Chironex fleckeri amp oldid 1136162211, wikipedia, wiki, book, books, library,

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