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Electrocardiographic ST segment changes due to the mad honey intoxication

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      Mad honey poisoning.

      Grayanotoxin intoxication, which is mostly seen in the eastern Black Sea region of Turkey, stems from the "mad honey" made by bees from the rhododendron plant flowers. In low doses, this causes dizziness, hypotension, and bradycardia, and in high doses, impaired consciousness, seizures, and atrioventricular block (AVB). This case study was designed as a series of cases of patients (6 women, 2 men) aged between 35 and 75 years. All of the patients' physical examinations revealed hypotension; 4 patients had sinus bradycardia, 3 had nodal rhythm, and 1 had complete AVB. In all patients, except for the patient with AVB, heart rate and blood pressure returned to normal limits within 2 to 6 hours. Two patients were monitored in the coronary intensive care unit. Of these 2, 1 was discharged on the second day. The other was fitted with a temporary pacemaker and was discharged on the third day. All the other patients were kept in for a 6-hour observation period and were then discharged from the ED. To date, 58 such cases have been reported, but we saw 8 patients within 2005. It is commonly seen in the east of the Black Sea region, although cases may occur from all over the eastern Black Sea region of Turkey. So far, no cases of death have been reported, although grayanotoxin causes adverse effects on the cardiovascular and respiratory systems and is therefore of considerable importance.
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        Wild flowers and mad honey.

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          Atrial fibrillation induced by mad honey intoxication in a patient with Wolf-Parkinson-White syndrome

           MA Cakar,  Y Can,  MB Vatan (2011)
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            Author and article information

            Affiliations
            Department of Internal Medicine, Sakarya University Faculty of Medicine, Sakarya, Turkey
            [1 ]Department of Cardiology, Sakarya University Faculty of Medicine, Sakarya, Turkey
            Author notes
            Correspondence: Dr. Selcuk Yaylacı, Department of Internal Medicine, Sakarya University Faculty of Medicine, Sakarya - 54100, Turkey. E-mail: yaylacis@ 123456hotmail.com
            Journal
            Indian J Crit Care Med
            Indian J Crit Care Med
            IJCCM
            Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine
            Medknow Publications & Media Pvt Ltd (India )
            0972-5229
            1998-359X
            May-Jun 2013
            : 17
            : 3
            : 192-193
            24082621 3777378 IJCCM-17-192 10.4103/0972-5229.117084
            Copyright: © Indian Journal of Critical Care Medicine

            This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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            Emergency medicine & Trauma

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