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Mad honey poisoning-related asystole

¹ Department of Emergency Medicine, Karadeniz Technical University Faculty of Medicine, Turkey
² Department of Cardiology, Karadeniz Technical University Faculty of Medicine, Turkey
³ Department of Internal Medicine, Karadeniz Technical University Faculty of Medicine, Turkey

Correspondence to:
Correspondence to:
Dr Suleyman Turedi
Department of Emergency Medicine, Karadeniz Technical University School of Medicine, 61080 Trabzon, Turkey; suleymanturedi{at}hotmail.com

ABSTRACT
Mad honey poisoning is well known in the eastern Black Sea region of Turkey. The cause of the poisoning is the toxin grayanotoxin, found in honey obtained from the nectar of Rhododendron species on the mountains in the region. A 60-year-old man was brought to the emergency department with dizziness and syncope after eating a few spoonfuls of honey. While the patient was being treated, bradycardia and asystole developed. The patient was given 0.5 mg of atropine, and asystole began and ended. The patient was transferred to the catheter laboratory and a temporary pacemaker was implanted. Mad honey poisoning related asystole has not been previously reported, and the rapid response to atropine is significant.