![]() ![]() The dive boat returned to shore for lunch before the afternoon dives. She had never experienced any symptoms like this on previous dives. The symptoms were again attributed to a sting or an allergic reaction to an unknown irritant. There were no blotches on her breasts, but they were very tender. Upon removing her wetsuit she noticed the areas of blotching had returned, but they were darker and larger than those of the previous day. Upon surfacing she experienced even more abdominal discomfort and soreness of both breasts. The next dive was to 58 feet for 50 minutes. She attributed this increase to the physical activity of the dive. The abdominal pain increased following that dive. The first dive was an uneventful drift dive to 64 feet for 55 minutes. By the next morning the soreness was almost completely resolved, and she decided to participate in the morning dives. It was mild enough, though, that she could enjoy dinner and a casual evening walk with her traveling companions. The blotchiness resolved within two hours, but the soreness remained. Based on their previous experience, the dive staff believed this was the result of a sting by a marine animal. She reported feeling as though she had done “too many sit-ups.” Some slight itching was present, but the soreness and discoloration were most prominent. The affected areas were tender, but in the deeper tissue rather than on the surface of her skin. She noticed areas of blotchiness that looked like bruising. After the last dive on the second day she began to feel soreness in her abdomen. She spent at least one hour on the surface between dives and at least two hours between the morning and afternoon dives. All dives were on air, and her bottom times were within her computer’s no-decompression limits. She was on a weeklong dive vacation in the Caribbean and had been diving for two days with four dives each day. She was experienced (approximately 400 lifetime dives) and physically fit with no relevant medical history. ![]()
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