Transient ST segment elevation and left bundle branch block caused by mad-honey poisoning
Muhammet Rasit Sayin1, Turgut Karabag, Sait Mesut Dogan
1Department of Cardiology, School of Medicine, Zonguldak Karaelmas University, Kozlu 67600, Zonguldak, Turkey. sayinmr@mynet.com
Wiener Klinische Wochenschrift
|April 25, 2012
Summary
Mad-honey poisoning can mimic serious cardiac events. This case highlights transient ST segment elevation and left bundle branch block in a 76-year-old male due to consuming toxic honey.
Area of Science:
- Cardiology
- Toxicology
Background:
- Mad honey, a unique product from Rhododendron nectar, possesses psychoactive and toxic properties.
- Cardiac complications are rare but documented sequelae of mad honey ingestion.
Observation:
- A 76-year-old male presented with acute symptoms suggestive of myocardial infarction.
- Electrocardiogram revealed transient ST segment elevation and a new-onset left bundle branch block.
Findings:
- The patient's clinical presentation and electrocardiographic changes were directly attributed to mad-honey poisoning.
- Symptoms resolved without specific cardiac intervention, supporting a toxic etiology.
Implications:
- This case underscores the importance of considering toxic ingestions, such as mad honey, in the differential diagnosis of acute cardiac syndromes.
- Clinicians should inquire about dietary exposures, including unusual honey consumption, in patients with unexplained ST segment elevation or bundle branch block.
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