title: Reversible parasympathetic dysautonomia following stinging attributed to the box jelly fish (Chironex fleckeri).
abstract: Following a box jelly fish sting, a 52 year old Chinese fisherman developed acute abdominal distension, inability to pass urine and failure of erection. Examination revealed gaseous abdominal distension and a distended urinary bladder. Absence of lachrimation and absence of changes in the R-R interval in the ECG during breathing and carotid sinus massage gave further evidence of parasympathetic dysautonomia. The patient made a complete recovery. The case highlights the occurrence of reversible parasympathetic dysautonomia following box jelly fish sting.
mesh_terms: D001342:Autonomic Nervous System Diseases / Q000209:etiology* / Q000503:physiopathology; D001733:Bites and Stings / Q000150:complications*; D003063:Cnidaria; D003064:Cnidarian Venoms / Q000506:poisoning*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010275:Parasympathetic Nervous System / Q000503:physiopathology; D037401:Scyphozoa
chemical_list: D003064:Cnidarian Venoms