Mad-honey intoxication confirmed by pollen analysis

Sümerkan M. Ç. , Ağırbaşlı M. A. , Altundağ E., BULUR S.

CLINICAL TOXICOLOGY, vol.49, no.9, pp.872-873, 2011 (Journal Indexed in SCI) identifier

  • Publication Type: Article / Editorial Material
  • Volume: 49 Issue: 9
  • Publication Date: 2011
  • Doi Number: 10.3109/15563650.2011.610801
  • Title of Journal : CLINICAL TOXICOLOGY
  • Page Numbers: pp.872-873
  • Keywords: Mad honey, Grayanotoxin, Myocardial infarction


Context. Despite numerous publications showing rhythm disturbance and hypotension caused by mad-honey intoxication, none of the findings are associated with ischemic heart disease. Case details. A 48-year-old patient was admitted to emergency service with acute anterior wall myocardial infarction after ingestion of mad-honey. Stent was implanted to the 99% stenosis lesion in the mid-portion of left anterior descending coronary artery. In this case, pollen analysis showed the suspected honey heavily contaminated with Rhododendron species pollen. Discussion. Mad-honey intoxication cases often apply to emergency service with similar signs and symptoms of acute coronary syndrome; therefore it may cause acute coronary syndrome to be bypassed. This also shows that in the cases of mad-honey intoxication, suspected honey pollen and/or toxin analysis should be done to confirm the diagnosis of mad-honey intoxication.