title: A rare cause of atrial fibrillation: mad honey intoxication.
abstract: BACKGROUND
  Mad honey intoxication occurs after ingestion of honey containing grayanotoxin.
  
  
  METHODS
  We report the case of a 36-year-old man who ingested mad honey and developed atrial fibrillation.
  
  
  CONCLUSIONS
  Mad honey intoxication is often characterized by symptoms such as hypotension, bradycardia, and syncope. Patients may also experience gastrointestinal, neurologic, and cardiovascular symptoms due to intoxication. Cardiac rhythm abnormalities, including sinus bradycardia, atrioventricular blocks, and nodal rhythms, also may be observed. To our knowledge, this is the first case report of a 36-year old man developing atrial fibrillation with a slow ventricular response after mad honey ingestion.
authors: Department of Cardiology, Ataturk Education and Research Hospital, Bilkent, Ankara, Turkey.
authors: Nihal Akar
authors: NA
authors: Bayram
authors: Telat
authors: T
authors: Keles
authors: Tahir
authors: T
authors: Durmaz
authors: Sıtkı
authors: S
authors: Dogan
authors: Engin
authors: E
authors: Bozkurt
mesh_terms: D000328:Adult; D001281:Atrial Fibrillation / Q000139:chemically induced* / Q000175:diagnosis; D004224:Diterpenes / Q000032:analysis / Q000506:poisoning*; D004562:Electrocardiography; D006722:Honey / Q000009:adverse effects* / Q000032:analysis; D006801:Humans; D008297:Male; D013575:Syncope / Q000139:chemically induced
chemical_list: D004224:Diterpenes; C001311:grayanotoxin I