IntroductionThe mad honey intoxication appears to be a clinical manifestation of use of grayanotoxin (GTX) isolated from the honey made by bees from the Rhododendron plant flowers mainly Ericaceae and Sapindaceae families.1
We present the case of a patient with the mad honey intoxication and review the pathophysiology and diagnostic considerations.
DiscussionMad honey intoxication is a sort of food poisoning generally reported from Japan Brazil North America and some other countries in addition to Turkey.2 Generally it is manifested by weakness profuse sweating nausea vomiting impaired consciousness but in serious cases it may develop into bradycardia nodal rhythm Wolff- Parkinson-White Syndrome and cardiac shock as a result of hypotension.
Taking into account all cases and our case with the presence of ST changes in inferior leads it is considered that mad honey intoxication may cause the circumflex and right coronary arterial involvement.
Mad honey intoxication observed in our case and in all reported up to date four cases revealed no abnormalities in CAG study.
Generally mad honey intoxication has a temperate clinical course but in some cases it leads to serious haemodynamic disturbances which mimic acute coronary