Case Report
Year: 2021 | Month: August | Volume: 8 | Issue: 8 | Pages: 416-419
DOI: https://doi.org/10.52403/ijrr.20210857
2:1 Atrioventricular Block and Severe Hypotension Due to Wild Honey Poisoning: A Case Report
Keshav Budhathoki1, Shyam Raj Regmi2, Sudhir Regmi2, Bishnu Mani Dhital2, Anand GC2, Sabina Sedhai2
1,2Department of Cardiology, Chitwan Medical College and Teaching Hospital, Bharatpur, Chitwan, Nepal.
Corresponding Author: Keshav Budhathoki
ABSTRACT
Wild Honey poisoning is caused by ingestion of wild honey obtained from the nectar of some species of Rhododendron, consuming leaves and flowers of Rhododendron found in the higher altitudes of Nepal which has traditionally been used by indigenous people of Nepal especially Himalayan belt of Nepal for its medicinal properties. The cause of poisoning is the toxin called grayanotoxin which is a naturally occurring sodium channel toxin that leads to life threatening bradycardia, hypotension and altered mental status but sometime it may present with rare life threatening atrioventricular block and cardiovascular collapse. Wild honey intoxication has widely been reported from Turkey, regions around the Black sea, Austria, Korea and some cases from Nepal. Wild honey poisoning is not the uncommon presentation to emergency department of Chitwan Medical College as it is located to central part of Nepal. We report a case of wild honey poisoning who was referred to our hospital with arrhythmia and hypotension.
Keywords: 2:1 Atrioventricular block, Grayanotoxin, Hypotension, Nepal, Wild honey.
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