Toxicology Reference Laboratory, Princess Margaret Hospital, Laichikok, Hong Kong.
Hong Kong Med J. 2013 Aug;19(4):354-6. doi: 10.12809/hkmj133936.
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.
我们报告了一例 48 岁男性急性中毒病例，该患者在摄入蜂蜜后出现胸痛、腹痛、头晕、出汗、视力模糊和严重低血压。他的心电图显示窦性心动过缓和一过性 ST 段抬高。经阿托品治疗和密切监测后，他恢复良好。他的尿液和所摄入的蜂蜜中检测到格尼泊毒素，这证实了他患有疯蜜中毒。这种情况在土耳其周围的黑海地区很常见，但在当地很少见。尽管疯蜜中毒有生命危险，但早期使用阿托品是救命的。这种中毒可能会出现心电图 ST 段抬高和类似急性心肌梗死的症状。因此，临床医生必须认识到这种不常见的中毒形式，并避免灾难性地使用溶栓治疗。
