title: Mad-honey intoxication confirmed by pollen analysis.
abstract: BACKGROUND
  Despite numerous publications showing rhythm disturbance and hypotension caused by mad-honey intoxication, none of the findings are associated with ischemic heart disease.
  
  
  METHODS
  A 48-year-old patient was admitted to emergency service with acute anterior wall myocardial infarction after ingestion of mad-honey. Stent was implanted to the 99% stenosis lesion in the mid-portion of left anterior descending coronary artery. In this case, pollen analysis showed the suspected honey heavily contaminated with Rhododendron species pollen.
  
  
  CONCLUSIONS
  Mad-honey intoxication cases often apply to emergency service with similar signs and symptoms of acute coronary syndrome; therefore it may cause acute coronary syndrome to be bypassed. This also shows that in the cases of mad-honey intoxication, suspected honey pollen and/or toxin analysis should be done to confirm the diagnosis of mad-honey intoxication.
authors.affiliation: Ataturk State Hospital, Cardiology, Duzce, Turkey. mutlusumerkan@yahoo.com
authors.forename: M C
authors.initials: MC
authors.lastname: Sumerkan
authors.forename: M
authors.initials: M
authors.lastname: Agirbasli
authors.forename: E
authors.initials: E
authors.lastname: Altundag
authors.forename: S
authors.initials: S
authors.lastname: Bulur
mesh_terms: D006722:Honey / Q000506:poisoning*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000209:etiology; D010939:Plant Poisoning / Q000150:complications / Q000175:diagnosis*; D011058:Pollen / Q000737:chemistry*; D029793:Rhododendron / Q000506:poisoning*; D014118:Toxins, Biological / Q000032:analysis / Q000506:poisoning
chemical_list: D014118:Toxins, Biological