Hypotension, bradycardia and syncope caused by honey poisoning

Resuscitation. 2006 Mar;68(3):405-8. doi: 10.1016/j.resuscitation.2005.07.014. Epub 2006 Feb 2.

Abstract

Honey intoxication, a kind of food poisoning, can be seen in the Black Sea region of Turkey and in various other parts of the world as well. In this study, 66 patients were hospitalized with a variety of symptoms including nausea, vomiting, salivation, dizziness, weakness, hypotension, bradycardia and syncope several hours after the ingestion of small amounts of honey. All patients had hypotension, and majority had bradycardia. These features resolved completely in 24 h with i.v. fluids and atropine, and none died. In conclusion, honey poisoning should be taken into consideration in the differential diagnosis of acute myocardial infarction and in the patients with vomiting, hypotension and bradycardia.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Anti-Arrhythmia Agents / therapeutic use
  • Atropine / therapeutic use
  • Bradycardia / chemically induced*
  • Bradycardia / therapy
  • Diterpenes / poisoning*
  • Female
  • Fluid Therapy
  • Honey / poisoning*
  • Humans
  • Hypotension / chemically induced*
  • Hypotension / therapy
  • Male
  • Middle Aged
  • Plants, Toxic / poisoning*
  • Syncope / chemically induced*
  • Syncope / therapy

Substances

  • Anti-Arrhythmia Agents
  • Diterpenes
  • Atropine
  • grayanotoxin I