A white flag warning of the presence of a great white shark was flying.
Amateur footage showed the man being airlifted by helicopter from the scene and a large shark in the water. The man is said to be in a critical condition.
The victim, believed to be a British expatriate living in South Africa, entered the water about an hour and a half after the shark had first been seen.
"It appears [the victim] was rescued from the water by a bystander who left the scene before we could identify him," National Sea Rescue Institute spokesman Craig Lambinon told the South African Press Association.
"The man was conscious when paramedics attended to him on the beach, but was sedated on-scene by paramedics in their efforts to stabilise the patient."
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