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Management of mad honey intoxication with suspected anaphylaxis in Nepal: a case report
Consumption of mad honey can lead to intoxication. The exact incidence of mad honey-induced intoxication is unknown. Typically, the patients present with dizziness, nausea, syncope, and sinus bradycardia. CASE PRESENTATION: The authors reported the case of a middle-aged male patient who presented wi...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Lippincott Williams & Wilkins
2023
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10289592/ https://www.ncbi.nlm.nih.gov/pubmed/37363528 http://dx.doi.org/10.1097/MS9.0000000000000800 |
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author | Anand, Ayush Adhikari, Nabin Gupta, Ashwini Ranjan, Rajesh Gautam, Arun Bhattarai, Urza Shah, Bhupendra |
author_facet | Anand, Ayush Adhikari, Nabin Gupta, Ashwini Ranjan, Rajesh Gautam, Arun Bhattarai, Urza Shah, Bhupendra |
author_sort | Anand, Ayush |
collection | PubMed |
description | Consumption of mad honey can lead to intoxication. The exact incidence of mad honey-induced intoxication is unknown. Typically, the patients present with dizziness, nausea, syncope, and sinus bradycardia. CASE PRESENTATION: The authors reported the case of a middle-aged male patient who presented with blurring of vision, passage of loose stools, vomiting, and profuse sweating after ingestion of honey. He also had a history of loss of consciousness. On presentation, he was hypotensive and tachypneic with cold, clammy extremities. His ECG showed sinus bradycardia. The authors made a diagnosis of mad honey intoxication with suspected anaphylaxis. The authors treated him with intravenous normal saline, epinephrine, and atropine. He again developed hypotension and bradycardia in a few hours, for which hydrocortisone was administered, following which his heart rate was normalized in 2 h. Overall, the recovery time in our patient was 8 h. The patient was counseled to avoid consuming mad honey and did well on his monthly follow-up. DISCUSSION: Our patient had signs and symptoms suggesting intoxication following ingestion of mad honey with suspicion of anaphylaxis. Similar to other reported cases, the patient had sinus bradycardia and hypotension. Epinephrine and atropine were administered to treat hypotension and bradycardia, respectively. Also, refractory hypotension was managed by intravenous hydrocortisone. Usually, atropine and saline infusion are sufficient to manage these cases, and simultaneous use of epinephrine and atropine should be avoided unless indicated. CONCLUSION: Our case highlighted the approach to diagnosing and treating mad honey intoxication with suspected anaphylaxis. |
format | Online Article Text |
id | pubmed-10289592 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-102895922023-06-24 Management of mad honey intoxication with suspected anaphylaxis in Nepal: a case report Anand, Ayush Adhikari, Nabin Gupta, Ashwini Ranjan, Rajesh Gautam, Arun Bhattarai, Urza Shah, Bhupendra Ann Med Surg (Lond) Case Reports Consumption of mad honey can lead to intoxication. The exact incidence of mad honey-induced intoxication is unknown. Typically, the patients present with dizziness, nausea, syncope, and sinus bradycardia. CASE PRESENTATION: The authors reported the case of a middle-aged male patient who presented with blurring of vision, passage of loose stools, vomiting, and profuse sweating after ingestion of honey. He also had a history of loss of consciousness. On presentation, he was hypotensive and tachypneic with cold, clammy extremities. His ECG showed sinus bradycardia. The authors made a diagnosis of mad honey intoxication with suspected anaphylaxis. The authors treated him with intravenous normal saline, epinephrine, and atropine. He again developed hypotension and bradycardia in a few hours, for which hydrocortisone was administered, following which his heart rate was normalized in 2 h. Overall, the recovery time in our patient was 8 h. The patient was counseled to avoid consuming mad honey and did well on his monthly follow-up. DISCUSSION: Our patient had signs and symptoms suggesting intoxication following ingestion of mad honey with suspicion of anaphylaxis. Similar to other reported cases, the patient had sinus bradycardia and hypotension. Epinephrine and atropine were administered to treat hypotension and bradycardia, respectively. Also, refractory hypotension was managed by intravenous hydrocortisone. Usually, atropine and saline infusion are sufficient to manage these cases, and simultaneous use of epinephrine and atropine should be avoided unless indicated. CONCLUSION: Our case highlighted the approach to diagnosing and treating mad honey intoxication with suspected anaphylaxis. Lippincott Williams & Wilkins 2023-05-10 /pmc/articles/PMC10289592/ /pubmed/37363528 http://dx.doi.org/10.1097/MS9.0000000000000800 Text en Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (https://creativecommons.org/licenses/by/4.0/) (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) |
spellingShingle | Case Reports Anand, Ayush Adhikari, Nabin Gupta, Ashwini Ranjan, Rajesh Gautam, Arun Bhattarai, Urza Shah, Bhupendra Management of mad honey intoxication with suspected anaphylaxis in Nepal: a case report |
title | Management of mad honey intoxication with suspected anaphylaxis in Nepal: a case report |
title_full | Management of mad honey intoxication with suspected anaphylaxis in Nepal: a case report |
title_fullStr | Management of mad honey intoxication with suspected anaphylaxis in Nepal: a case report |
title_full_unstemmed | Management of mad honey intoxication with suspected anaphylaxis in Nepal: a case report |
title_short | Management of mad honey intoxication with suspected anaphylaxis in Nepal: a case report |
title_sort | management of mad honey intoxication with suspected anaphylaxis in nepal: a case report |
topic | Case Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10289592/ https://www.ncbi.nlm.nih.gov/pubmed/37363528 http://dx.doi.org/10.1097/MS9.0000000000000800 |
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