Mad-honey intoxication confirmed by pollen analysis

Context. Despite numerous publications showing rhythm disturbance and hypotension caused by mad-honey intoxication, none of the findings are associated with ischemic heart disease. Case details. A 48-year-old patient was admitted to emergency service with acute anterior wall myocardial infarction af...

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Bibliographic Details
Published inClinical toxicology (Philadelphia, Pa.) Vol. 49; no. 9; pp. 872 - 873
Main Authors Sumerkan, M. C., Agirbasli, M., Altundag, E., Bulur, S.
Format Journal Article
LanguageEnglish
Published England Informa Healthcare 01.11.2011
Taylor & Francis
Subjects
Grayanotoxin
Honey - poisoning
Humans
Mad honey
Male
Middle Aged
Myocardial infarction
Myocardial Infarction - etiology
Plant Poisoning - complications
Plant Poisoning - diagnosis
Pollen - chemistry
Rhododendron - poisoning
Toxins, Biological - analysis
Toxins, Biological - poisoning
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Summary:Context. Despite numerous publications showing rhythm disturbance and hypotension caused by mad-honey intoxication, none of the findings are associated with ischemic heart disease. Case details. A 48-year-old patient was admitted to emergency service with acute anterior wall myocardial infarction after ingestion of mad-honey. Stent was implanted to the 99% stenosis lesion in the mid-portion of left anterior descending coronary artery. In this case, pollen analysis showed the suspected honey heavily contaminated with Rhododendron species pollen. Discussion. Mad-honey intoxication cases often apply to emergency service with similar signs and symptoms of acute coronary syndrome; therefore it may cause acute coronary syndrome to be bypassed. This also shows that in the cases of mad-honey intoxication, suspected honey pollen and/or toxin analysis should be done to confirm the diagnosis of mad-honey intoxication.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
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ISSN:1556-3650
1556-9519
DOI:10.3109/15563650.2011.610801