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Barratt DM, Harch PG, Van Meter K. Decompression illness in divers: a review of the literature. Neurologist. 2002 May; 8(3): 186-202.

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Article

Type II Decompression Illness after Diving Seven Meters

1Department of Acute Critical Care Medicine, Shizuoka Hospital, Juntendo University, Japan


American Journal of Medical Case Reports. 2022, Vol. 10 No. 3, 48-50
DOI: 10.12691/ajmcr-10-3-2
Copyright © 2022 Science and Education Publishing

Cite this paper:
Youichi Yanagawa, Ken-ichi Muramatsu, Hiroki Nagasawa, Ikuto Takeuchi, Kei Jitsuiki. Type II Decompression Illness after Diving Seven Meters. American Journal of Medical Case Reports. 2022; 10(3):48-50. doi: 10.12691/ajmcr-10-3-2.

Correspondence to: Youichi  Yanagawa, Department of Acute Critical Care Medicine, Shizuoka Hospital, Juntendo University, Japan. Email: yyanaga@juntendo.ac.jp

Abstract

A 30-year-old man went occupational diving 2 times. The first was a 20-min dive at a depth of 3.3 m, and the second was a 10-min dive at a depth of 7.7 m. During the second dive, he felt chest pain and suddenly surfaced. After reaching the surface, he felt dyspnea and headache. He also felt dysesthesia in every extremity during transportation. Upon arrival, he was in hypertensive bradycardia state. A physical study demonstrated no remarkable findings except for his complaints. His electrocardiogram, chest roentgen, whole-body computed tomography, and blood test findings were negative. He was diagnosed with decompression illness (DCI) and transported to another hospital for hyperbaric oxygen therapy. During his transfer, he showed quadriparesis, which was compatible with decompression sickness type II. He was treated as outlined in United States Navy Treatment Table 6. He ultimately obtained a complete recovery and was reinstated. We reported a concrete case of DCI after a shallow dive. DCI should be strongly considered when divers report feeling unwell after diving.

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