Mad Honey Poisoning: Another Substance causing Muscarinic Overactivity

Authors

  • Jamia Ahmad Specialist, Acute Medicine & HDU, Square Hospital Limited, Dhaka, Bangladesh
  • Sharon Roy RMO, Acute Medicine & HDU, Square Hospital Limited, Dhaka, Bangladesh
  • Mahbuba Islam RMO, Acute Medicine & HDU, Square Hospital Limited, Dhaka, Bangladesh
  • Ahmad Mursel Anam Associate Consultant, Acute Medicine & Critical Care, Square Hospital Limited, Dhaka, Bangladesh

DOI:

https://doi.org/10.3329/jbcps.v42i4.76300

Keywords:

Mad honey, grayanotoxin, muscarinic overactivity

Abstract

Mad honey syndrome is the poisoning by Grayanotoxin, produced by plants of genus Rhododendron of Ericacea family. Grayanotoxin poisoning is relatively uncommon and is encountered mostly in Nepal and Turkey, where the plants are found in abundance. The similarity between the symptoms of Grayanotoxin toxicity and organophosphate compounds (OPC) poisoning poses the challenge of differentiating between the two, and a possibility of atropine poisoning while treating as OPC poisoning. Here we report the first ever case of “Mad Honey Syndrome” in Bangladesh, where meticulous history taking helped us in proper diagnosis and appropriate management.

J Bangladesh Coll Phys Surg 2024; 42: 383-386

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Published

2024-10-28

How to Cite

Ahmad, J., Roy, S., Islam, M., & Anam, A. M. (2024). Mad Honey Poisoning: Another Substance causing Muscarinic Overactivity. Journal of Bangladesh College of Physicians and Surgeons, 42(4), 383–386. https://doi.org/10.3329/jbcps.v42i4.76300

Issue

Vol. 42 No. 4 (2024)

Section

Case Reports

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