Aygun Ali, Vuran Hava Semra, Aksut Nurhak, Karaca Yunus, Gunduz Abdulkadir, Turedi Suleyman
Department of Emergency Medicine, Karadeniz Technical University, Trabzon, Turkey.
J Emerg Med. 2016 Jan;50(1):51-4. doi: 10.1016/j.jemermed.2015.08.009. Epub 2015 Oct 4.
Mad honey-related intoxication frequently leads to bradycardia, hypotension, and syncope. Hypothermia is a potentially life-threatening condition if not identified early and treated appropriately.
Three patients are reviewed. Patient 1 was a 66-year-old man who presented to the emergency department with nausea, vomiting, and faintness beginning 2 h after consuming honey. His temperature was 34°C, his blood pressure was 70/40 mm Hg, and his heart rate was 30 beats/min. Patient 2, a 57-year-old man, presented to the emergency department with headache, feeling cold, and faintness beginning 3 h after consuming honey. His temperature was 35°C, his blood pressure was 60/40 mm Hg, and his heart rate was 46 beats/min. Patient 3 was a 79-year-old woman who presented with nausea, vomiting, and headache 2 h after consuming honey. Her temperature was 35°C, her blood pressure was 70/40 mm Hg, and her heart rate was 40 beats/min. All 3 patients were discharged in good condition after appropriate therapy. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Bradycardia and hypotension are frequently encountered in mad honey intoxication. However, intoxication accompanied by hypothermia has attracted little attention to date.
食用疯蜜导致的中毒常引发心动过缓、低血压和晕厥。低温若未早期识别并得到恰当治疗，是一种可能危及生命的状况。
回顾了3例患者。患者1是一名66岁男性，食用蜂蜜2小时后出现恶心、呕吐和头晕，前往急诊科就诊。他的体温为34°C，血压为70/40 mmHg，心率为30次/分钟。患者2是一名57岁男性，食用蜂蜜3小时后出现头痛、发冷和头晕，前往急诊科就诊。他的体温为35°C，血压为60/40 mmHg，心率为46次/分钟。患者3是一名79岁女性，食用蜂蜜2小时后出现恶心、呕吐和头痛。她的体温为35°C，血压为70/40 mmHg，心率为40次/分钟。所有3例患者经适当治疗后均康复出院。急诊医生为何应知晓此事？：疯蜜中毒时经常会出现心动过缓和低血压。然而，迄今为止，伴有低温的中毒情况很少受到关注。
