Mad honey poisoning mimicking acute myocardial infarction

We report a case of acute poisoning in a 48-year-old man who presented with chest pain, abdominal pain, dizziness, sweatiness, blurred vision, and severe hypotension after ingestion of honey. His electrocardiogram showed sinus bradycardia and transient ST elevation. He made a good recovery after tre...

Full description

Saved in:
Bibliographic Details
Published in:Hong Kong medical journal = Xianggang yi xue za zhi 2013-08, Vol.19 (4), p.354-356
Main Authors: Chen, Sammy P L, Lam, Y H, Ng, Vember C H, Lau, F L, Sze, Y C, Chan, W T, Mak, Tony W L
Format: Article
Language:chi ; eng
Subjects:
Abdominal Pain - etiology
Atropine - therapeutic use
Chest Pain - etiology
Diterpenes - urine
Electrocardiography
Honey - poisoning
Humans
Male
Middle Aged
Myocardial Infarction - diagnosis
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by
cites
container_end_page 356
container_issue 4
container_start_page 354
container_title Hong Kong medical journal = Xianggang yi xue za zhi
container_volume 19
creator Chen, Sammy P L
Lam, Y H
Ng, Vember C H
Lau, F L
Sze, Y C
Chan, W T
Mak, Tony W L
description We report a case of acute poisoning in a 48-year-old man who presented with chest pain, abdominal pain, dizziness, sweatiness, blurred vision, and severe hypotension after ingestion of honey. His electrocardiogram showed sinus bradycardia and transient ST elevation. He made a good recovery after treatment with atropine and close monitoring. Grayanotoxin was detected in his urine and the honey he ingested, which confirmed a diagnosis of mad honey poisoning. This is a condition prevalent in the Black Sea region around Turkey but rarely seen locally. Although mad honey poisoning is life-threatening, early use of atropine is life-saving. Such poisoning may present with ST elevation in the electrocardiogram and symptoms mimicking acute myocardial infarction. It is therefore essential for clinicians to recognise this unusual form of poisoning and avoid the disastrous use of thrombolytic therapy.
doi_str_mv 10.12809/hkmj133936
format article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_1418365631</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1418365631</sourcerecordid><originalsourceid>FETCH-LOGICAL-p843-6184f178353569e6e5d6b021a816b3d358d6cdb8159ca012fcdd15291607afb23</originalsourceid><addsrcrecordid>eNpd0DtPwzAUBWALgWgpTOwoEgtLwNeO7esRVbykIpbukWM71G1ihzyG_nuKKAvTPcOno6NLyDXQe2BI9cNm126Bc83lCZkzxmSOiqpTMgfKipwpijNyMQxbShkKTc_JjHENKIDPiX43Ltuk6PdZl8KQYoifWRvaYHc_ydhp9Fm7T9b0LpgmC7E2vR1DipfkrDbN4K-Od0HWz0_r5Wu--nh5Wz6u8g4LnkvAogaFXHAhtZdeOFlRBgZBVtxxgU5aVyEIbQ0FVlvnQDANkipTV4wvyN1vbdenr8kPY9mGwfqmMdGnaSihAORSSA4HevuPbtPUx8O4kimUukAEdVA3RzVVrXdl14fW9Pvy7yf8G0LFYQs</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2786948817</pqid></control><display><type>article</type><title>Mad honey poisoning mimicking acute myocardial infarction</title><source>Publicly Available Content (ProQuest)</source><creator>Chen, Sammy P L ; Lam, Y H ; Ng, Vember C H ; Lau, F L ; Sze, Y C ; Chan, W T ; Mak, Tony W L</creator><creatorcontrib>Chen, Sammy P L ; Lam, Y H ; Ng, Vember C H ; Lau, F L ; Sze, Y C ; Chan, W T ; Mak, Tony W L</creatorcontrib><description>We report a case of acute poisoning in a 48-year-old man who presented with chest pain, abdominal pain, dizziness, sweatiness, blurred vision, and severe hypotension after ingestion of honey. His electrocardiogram showed sinus bradycardia and transient ST elevation. He made a good recovery after treatment with atropine and close monitoring. Grayanotoxin was detected in his urine and the honey he ingested, which confirmed a diagnosis of mad honey poisoning. This is a condition prevalent in the Black Sea region around Turkey but rarely seen locally. Although mad honey poisoning is life-threatening, early use of atropine is life-saving. Such poisoning may present with ST elevation in the electrocardiogram and symptoms mimicking acute myocardial infarction. It is therefore essential for clinicians to recognise this unusual form of poisoning and avoid the disastrous use of thrombolytic therapy.</description><identifier>ISSN: 1024-2708</identifier><identifier>EISSN: 2226-8707</identifier><identifier>DOI: 10.12809/hkmj133936</identifier><identifier>PMID: 23918513</identifier><language>chi ; eng</language><publisher>China: Hong Kong Academy of Medicine</publisher><subject>Abdominal Pain - etiology ; Atropine - therapeutic use ; Chest Pain - etiology ; Diterpenes - urine ; Electrocardiography ; Honey - poisoning ; Humans ; Male ; Middle Aged ; Myocardial Infarction - diagnosis</subject><ispartof>Hong Kong medical journal = Xianggang yi xue za zhi, 2013-08, Vol.19 (4), p.354-356</ispartof><rights>2013. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the associated terms available at https://www.hkmj.org/about/website.html</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2786948817/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2786948817?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,25753,27924,27925,37012,37013,44590,74998</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23918513$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chen, Sammy P L</creatorcontrib><creatorcontrib>Lam, Y H</creatorcontrib><creatorcontrib>Ng, Vember C H</creatorcontrib><creatorcontrib>Lau, F L</creatorcontrib><creatorcontrib>Sze, Y C</creatorcontrib><creatorcontrib>Chan, W T</creatorcontrib><creatorcontrib>Mak, Tony W L</creatorcontrib><title>Mad honey poisoning mimicking acute myocardial infarction</title><title>Hong Kong medical journal = Xianggang yi xue za zhi</title><addtitle>Hong Kong Med J</addtitle><description>We report a case of acute poisoning in a 48-year-old man who presented with chest pain, abdominal pain, dizziness, sweatiness, blurred vision, and severe hypotension after ingestion of honey. His electrocardiogram showed sinus bradycardia and transient ST elevation. He made a good recovery after treatment with atropine and close monitoring. Grayanotoxin was detected in his urine and the honey he ingested, which confirmed a diagnosis of mad honey poisoning. This is a condition prevalent in the Black Sea region around Turkey but rarely seen locally. Although mad honey poisoning is life-threatening, early use of atropine is life-saving. Such poisoning may present with ST elevation in the electrocardiogram and symptoms mimicking acute myocardial infarction. It is therefore essential for clinicians to recognise this unusual form of poisoning and avoid the disastrous use of thrombolytic therapy.</description><subject>Abdominal Pain - etiology</subject><subject>Atropine - therapeutic use</subject><subject>Chest Pain - etiology</subject><subject>Diterpenes - urine</subject><subject>Electrocardiography</subject><subject>Honey - poisoning</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Myocardial Infarction - diagnosis</subject><issn>1024-2708</issn><issn>2226-8707</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><recordid>eNpd0DtPwzAUBWALgWgpTOwoEgtLwNeO7esRVbykIpbukWM71G1ihzyG_nuKKAvTPcOno6NLyDXQe2BI9cNm126Bc83lCZkzxmSOiqpTMgfKipwpijNyMQxbShkKTc_JjHENKIDPiX43Ltuk6PdZl8KQYoifWRvaYHc_ydhp9Fm7T9b0LpgmC7E2vR1DipfkrDbN4K-Od0HWz0_r5Wu--nh5Wz6u8g4LnkvAogaFXHAhtZdeOFlRBgZBVtxxgU5aVyEIbQ0FVlvnQDANkipTV4wvyN1vbdenr8kPY9mGwfqmMdGnaSihAORSSA4HevuPbtPUx8O4kimUukAEdVA3RzVVrXdl14fW9Pvy7yf8G0LFYQs</recordid><startdate>201308</startdate><enddate>201308</enddate><creator>Chen, Sammy P L</creator><creator>Lam, Y H</creator><creator>Ng, Vember C H</creator><creator>Lau, F L</creator><creator>Sze, Y C</creator><creator>Chan, W T</creator><creator>Mak, Tony W L</creator><general>Hong Kong Academy of Medicine</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BVBZV</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>201308</creationdate><title>Mad honey poisoning mimicking acute myocardial infarction</title><author>Chen, Sammy P L ; Lam, Y H ; Ng, Vember C H ; Lau, F L ; Sze, Y C ; Chan, W T ; Mak, Tony W L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p843-6184f178353569e6e5d6b021a816b3d358d6cdb8159ca012fcdd15291607afb23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>chi ; eng</language><creationdate>2013</creationdate><topic>Abdominal Pain - etiology</topic><topic>Atropine - therapeutic use</topic><topic>Chest Pain - etiology</topic><topic>Diterpenes - urine</topic><topic>Electrocardiography</topic><topic>Honey - poisoning</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Myocardial Infarction - diagnosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chen, Sammy P L</creatorcontrib><creatorcontrib>Lam, Y H</creatorcontrib><creatorcontrib>Ng, Vember C H</creatorcontrib><creatorcontrib>Lau, F L</creatorcontrib><creatorcontrib>Sze, Y C</creatorcontrib><creatorcontrib>Chan, W T</creatorcontrib><creatorcontrib>Mak, Tony W L</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>ProQuest Central (Corporate)</collection><collection>Health &amp; Medicine (ProQuest)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest East &amp; South Asia Database</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content (ProQuest)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Hong Kong medical journal = Xianggang yi xue za zhi</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chen, Sammy P L</au><au>Lam, Y H</au><au>Ng, Vember C H</au><au>Lau, F L</au><au>Sze, Y C</au><au>Chan, W T</au><au>Mak, Tony W L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mad honey poisoning mimicking acute myocardial infarction</atitle><jtitle>Hong Kong medical journal = Xianggang yi xue za zhi</jtitle><addtitle>Hong Kong Med J</addtitle><date>2013-08</date><risdate>2013</risdate><volume>19</volume><issue>4</issue><spage>354</spage><epage>356</epage><pages>354-356</pages><issn>1024-2708</issn><eissn>2226-8707</eissn><abstract>We report a case of acute poisoning in a 48-year-old man who presented with chest pain, abdominal pain, dizziness, sweatiness, blurred vision, and severe hypotension after ingestion of honey. His electrocardiogram showed sinus bradycardia and transient ST elevation. He made a good recovery after treatment with atropine and close monitoring. Grayanotoxin was detected in his urine and the honey he ingested, which confirmed a diagnosis of mad honey poisoning. This is a condition prevalent in the Black Sea region around Turkey but rarely seen locally. Although mad honey poisoning is life-threatening, early use of atropine is life-saving. Such poisoning may present with ST elevation in the electrocardiogram and symptoms mimicking acute myocardial infarction. It is therefore essential for clinicians to recognise this unusual form of poisoning and avoid the disastrous use of thrombolytic therapy.</abstract><cop>China</cop><pub>Hong Kong Academy of Medicine</pub><pmid>23918513</pmid><doi>10.12809/hkmj133936</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 1024-2708
ispartof Hong Kong medical journal = Xianggang yi xue za zhi, 2013-08, Vol.19 (4), p.354-356
issn 1024-2708
2226-8707
language chi ; eng
recordid cdi_proquest_miscellaneous_1418365631
source Publicly Available Content (ProQuest)
subjects Abdominal Pain - etiology
Atropine - therapeutic use
Chest Pain - etiology
Diterpenes - urine
Electrocardiography
Honey - poisoning
Humans
Male
Middle Aged
Myocardial Infarction - diagnosis
title Mad honey poisoning mimicking acute myocardial infarction
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-07T19%3A23%3A45IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Mad%20honey%20poisoning%20mimicking%20acute%20myocardial%20infarction&rft.jtitle=Hong%20Kong%20medical%20journal%20=%20Xianggang%20yi%20xue%20za%20zhi&rft.au=Chen,%20Sammy%20P%20L&rft.date=2013-08&rft.volume=19&rft.issue=4&rft.spage=354&rft.epage=356&rft.pages=354-356&rft.issn=1024-2708&rft.eissn=2226-8707&rft_id=info:doi/10.12809/hkmj133936&rft_dat=%3Cproquest_pubme%3E1418365631%3C/proquest_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-p843-6184f178353569e6e5d6b021a816b3d358d6cdb8159ca012fcdd15291607afb23%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2786948817&rft_id=info:pmid/23918513&rfr_iscdi=true