title: [Turkish patient with syncope and accompanying vegetative symptoms with bradycardia after eating pontin honey].
abstract: A 52-year-old man with Turkish background presented with nausea, emesis, one experience of syncope with loss of consciousness for a few seconds, and documented sinus bradycardia. During monitoring, several phases of bradycardia were observed. After 24 h of monitoring, the patient was free of complaints. The patient's wife reported regular consumption of pontin honey. Because of the anamnesis and the typical characteristics, grayanotoxin poisoning was diagnosed. Typical symptoms of this poisoning are hypotension, bradycardia, syncope, and loss of consciousness. When these symptoms are found and a typical anamnesis exists, this kind of intoxication has to been taken into consideration as part of the differential diagnosis.
authors.affiliation: II. Medizinische Klinik, GPR Gesundheits- und Pflegezentrum Rüsselsheim gemeinnützige GmbH, August-Bebel-Straße 59, 65428, Rüsselsheim, Deutschland, philipp.engel@hdd-online.com.
authors.forename: P
authors.initials: P
authors.lastname: Engel
authors.forename: R
authors.initials: R
authors.lastname: Blank
authors.forename: C
authors.initials: C
authors.lastname: Nalenz
mesh_terms: D001919:Bradycardia / Q000139:chemically induced*; D003937:Diagnosis, Differential; D004224:Diterpenes / Q000506:poisoning*; D004417:Dyspnea / Q000139:chemically induced*; D004562:Electrocardiography / Q000187:drug effects; D054242:Emigrants and Immigrants; D005517:Foodborne Diseases / Q000175:diagnosis*; D005858:Germany; D006722:Honey / Q000506:poisoning*; D006801:Humans; D007022:Hypotension / Q000139:chemically induced*; D008297:Male; D008875:Middle Aged; D054138:Sinus Arrest, Cardiac / Q000139:chemically induced* / Q000175:diagnosis*; D013575:Syncope / Q000139:chemically induced*; D014421:Turkey / Q000208:ethnology
chemical_list: D004224:Diterpenes; C001311:grayanotoxin I
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