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A Rare Cause of Complete Atrioventricular Block and Accelerate Nodal Rhythm; Mad Honey Poisoning

Year 2014, Volume: 4 Issue: 2 EK, 100 - 43, 10.09.2014

İbrahim Altun Fatih Akın Nuri Köse Halil Beydilli Ethem Acar

Abstract

An unusual type of food poisoning, mad honey intoxication, can be observed in the Black Sea region of  Turkey and various  other  parts of the world.  It can occur after ingestion of grayanotoxin-contaminated honey produced from the nectar of Rhododendron ponticum and other plant species, chiefly of the Ericaceae and Sapindaceae families. Mad honey  intoxication can result in severe cardiac complications, such as complete atrioventricular block. The diagnosis is generally reached on the basis of the patient's history of honey intake.  In this report, we describe the case of a patient who had mad honey related complete atrioventricular block and accelerate nodal rhythm.

Keywords

Complete Atrioventricular Block; Nodal Rhythm; Mad Honey Poisoning

References

  • Goldfrank’s Toxicologic Emergencies. Plant: Grayanotoxin . Chapter 78. 7th ed. New York: Mc-Graw-Hill; 2002. p. 1171.
  • Onat FY, Yegen BC, Lawrence R, Oktay A, Oktay S. Mad honey poisoning in man and rat. Rev Environ Health 1991; 9(1):3–9.
  • Ergun K, Tufekcioglu O, Aras D, Korkmaz S, Pehlivan S. A rare cause of atrioventricular block: mad honey intoxication. Int J Cardiol 2005;99(2):347–8.
  • Gunduz A, Turedi S, Uzun H, Topbas M. Mad honey poisoning. Am J Emerg Med 2006;24(5):595–8.
  • Dursunoglu D, Gur S, Semiz E. A case with complete atrioventricular block related to mad honey intoxication. Ann Emerg Med 2007;50(4):484–5
  • Akinci S, Arslan U, Karakurt K, Cengel A. An unusual presentation of mad honey poisoning: acute myocardial infarction. Int J Cardiol 2008;129(2):e56–8.
  • Gossinger H, Hruby K, Haubenstock A, Pohl A, Davogg S. Cardiac arrhythmias in a patient with grayanotoxin-honey poisoning. Vet Hum Toxicol 1983;25(5):328–9.
  • Seyama I, Yamaoka K, Yakehiro M, Yoshioka Y, Morihara K. Is the site of action of grayanotoxin the sodium channel gating of squid axon? Jpn J Physiol 1985;35(3):401–10.
  • Brown BS, Akera T, Brody TM. Mechanism of grayanotoxin III-induced afterpotentials in feline cardiac Purkinje fibers. Eur J Pharmacol 1981;75(4):271–81.
  • Dilber E, Celiker A, Karagoz T, Kalkanoglu HS. Permanent transfemoral pacemaker implantation in a child with Maroteaux Lamy syndrome. Pacing Clin Electrophysiol 2002;25 (12):1784–5.

Atrioventriküler Tam Blok ve Akselere Nodal Ritmin Nadir Bir Nedeni; Deli Bal Zehirlenmesi

Year 2014, Volume: 4 Issue: 2 EK, 100 - 43, 10.09.2014

İbrahim Altun Fatih Akın Nuri Köse Halil Beydilli Ethem Acar

Abstract

Nadir bir gıda zehirlenmesi olan deli bal zehirlenmesi Karadeniz bölgesi ve dünyanın diğer bölgelerinde görülebilmektedir.  Ericaceae ve Sapindaceae ailesinin  Rhododendron ponticum bitki türlerinden üretilmiş nektarın grayanotoxin ile kontamine olmuş balın tüketilmesiyle ortaya çıkar. Deli bal zehirlenmesi tam atriyoventriküler blok gibi ciddi kardiyak komplikasyonlarla sonuçlanabilmektedir. Tanı genellikle bal alımı hikayesiyle konur. Bu vakada tam atriyoventriküler blok ve akselere nodal ritm ile ilişkili deli bal zehirlenmesini tanımlandı.

 

Anahtar Kelimeler: Tam atriyoventriküler blok, Deli bal zehirlenmesi, Nodal ritm

Keywords

Tam atriyoventriküler blok Deli bal zehirlenmesi Nodal ritm

References

  • Goldfrank’s Toxicologic Emergencies. Plant: Grayanotoxin . Chapter 78. 7th ed. New York: Mc-Graw-Hill; 2002. p. 1171.
  • Onat FY, Yegen BC, Lawrence R, Oktay A, Oktay S. Mad honey poisoning in man and rat. Rev Environ Health 1991; 9(1):3–9.
  • Ergun K, Tufekcioglu O, Aras D, Korkmaz S, Pehlivan S. A rare cause of atrioventricular block: mad honey intoxication. Int J Cardiol 2005;99(2):347–8.
  • Gunduz A, Turedi S, Uzun H, Topbas M. Mad honey poisoning. Am J Emerg Med 2006;24(5):595–8.
  • Dursunoglu D, Gur S, Semiz E. A case with complete atrioventricular block related to mad honey intoxication. Ann Emerg Med 2007;50(4):484–5
  • Akinci S, Arslan U, Karakurt K, Cengel A. An unusual presentation of mad honey poisoning: acute myocardial infarction. Int J Cardiol 2008;129(2):e56–8.
  • Gossinger H, Hruby K, Haubenstock A, Pohl A, Davogg S. Cardiac arrhythmias in a patient with grayanotoxin-honey poisoning. Vet Hum Toxicol 1983;25(5):328–9.
  • Seyama I, Yamaoka K, Yakehiro M, Yoshioka Y, Morihara K. Is the site of action of grayanotoxin the sodium channel gating of squid axon? Jpn J Physiol 1985;35(3):401–10.
  • Brown BS, Akera T, Brody TM. Mechanism of grayanotoxin III-induced afterpotentials in feline cardiac Purkinje fibers. Eur J Pharmacol 1981;75(4):271–81.
  • Dilber E, Celiker A, Karagoz T, Kalkanoglu HS. Permanent transfemoral pacemaker implantation in a child with Maroteaux Lamy syndrome. Pacing Clin Electrophysiol 2002;25 (12):1784–5.
There are 10 citations in total.

Details

Primary Language English
Journal Section Case Report
Authors

İbrahim Altun

Fatih Akın This is me

Nuri Köse This is me

Halil Beydilli This is me

Ethem Acar This is me

Publication Date September 10, 2014
Published in Issue Year 2014 Volume: 4 Issue: 2 EK

Cite

APA Altun, İ., Akın, F., Köse, N., Beydilli, H., et al. (2014). A Rare Cause of Complete Atrioventricular Block and Accelerate Nodal Rhythm; Mad Honey Poisoning. Çağdaş Tıp Dergisi, 4(2 EK), 100-43.
AMA Altun İ, Akın F, Köse N, Beydilli H, Acar E. A Rare Cause of Complete Atrioventricular Block and Accelerate Nodal Rhythm; Mad Honey Poisoning. J Contemp Med. October 2014;4(2 EK):100-43.
Chicago Altun, İbrahim, Fatih Akın, Nuri Köse, Halil Beydilli, and Ethem Acar. “A Rare Cause of Complete Atrioventricular Block and Accelerate Nodal Rhythm; Mad Honey Poisoning”. Çağdaş Tıp Dergisi 4, no. 2 EK (October 2014): 100-43.
EndNote Altun İ, Akın F, Köse N, Beydilli H, Acar E (October 1, 2014) A Rare Cause of Complete Atrioventricular Block and Accelerate Nodal Rhythm; Mad Honey Poisoning. Çağdaş Tıp Dergisi 4 2 EK 100–43.
IEEE İ. Altun, F. Akın, N. Köse, H. Beydilli, and E. Acar, “A Rare Cause of Complete Atrioventricular Block and Accelerate Nodal Rhythm; Mad Honey Poisoning”, J Contemp Med, vol. 4, no. 2 EK, pp. 100–43, 2014.
ISNAD Altun, İbrahim et al. “A Rare Cause of Complete Atrioventricular Block and Accelerate Nodal Rhythm; Mad Honey Poisoning”. Çağdaş Tıp Dergisi 4/2 EK (October 2014), 100-43.
JAMA Altun İ, Akın F, Köse N, Beydilli H, Acar E. A Rare Cause of Complete Atrioventricular Block and Accelerate Nodal Rhythm; Mad Honey Poisoning. J Contemp Med. 2014;4:100–43.
MLA Altun, İbrahim et al. “A Rare Cause of Complete Atrioventricular Block and Accelerate Nodal Rhythm; Mad Honey Poisoning”. Çağdaş Tıp Dergisi, vol. 4, no. 2 EK, 2014, pp. 100-43.
Vancouver Altun İ, Akın F, Köse N, Beydilli H, Acar E. A Rare Cause of Complete Atrioventricular Block and Accelerate Nodal Rhythm; Mad Honey Poisoning. J Contemp Med. 2014;4(2 EK):100-43.