title: Mad Honey Poisoning-Related Hypothermia: A Case Series.
abstract: BACKGROUND
  Mad honey-related intoxication frequently leads to bradycardia, hypotension, and syncope. Hypothermia is a potentially life-threatening condition if not identified early and treated appropriately.
  
  
  METHODS
  Three patients are reviewed. Patient 1 was a 66-year-old man who presented to the emergency department with nausea, vomiting, and faintness beginning 2 h after consuming honey. His temperature was 34°C, his blood pressure was 70/40 mm Hg, and his heart rate was 30 beats/min. Patient 2, a 57-year-old man, presented to the emergency department with headache, feeling cold, and faintness beginning 3 h after consuming honey. His temperature was 35°C, his blood pressure was 60/40 mm Hg, and his heart rate was 46 beats/min. Patient 3 was a 79-year-old woman who presented with nausea, vomiting, and headache 2 h after consuming honey. Her temperature was 35°C, her blood pressure was 70/40 mm Hg, and her heart rate was 40 beats/min. All 3 patients were discharged in good condition after appropriate therapy. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Bradycardia and hypotension are frequently encountered in mad honey intoxication. However, intoxication accompanied by hypothermia has attracted little attention to date.
authors.affiliation: Department of Emergency Medicine, Karadeniz Technical University, Trabzon, Turkey.
authors.forename: Ali
authors.initials: A
authors.lastname: Aygun
authors.affiliation: Department of Emergency Medicine, Karadeniz Technical University, Trabzon, Turkey.
authors.forename: Hava Semra
authors.initials: HS
authors.lastname: Vuran
authors.affiliation: Department of Emergency Medicine, Karadeniz Technical University, Trabzon, Turkey.
authors.forename: Nurhak
authors.initials: N
authors.lastname: Aksut
authors.affiliation: Department of Emergency Medicine, Karadeniz Technical University, Trabzon, Turkey.
authors.forename: Yunus
authors.initials: Y
authors.lastname: Karaca
authors.affiliation: Department of Emergency Medicine, Karadeniz Technical University, Trabzon, Turkey.
authors.forename: Abdulkadir
authors.initials: A
authors.lastname: Gunduz
authors.affiliation: Department of Emergency Medicine, Karadeniz Technical University, Trabzon, Turkey.
authors.forename: Suleyman
authors.initials: S
authors.lastname: Turedi
mesh_terms: D000368:Aged; D005260:Female; D006261:Headache / Q000209:etiology; D006722:Honey / Q000506:poisoning*; D006801:Humans; D007022:Hypotension / Q000209:etiology; D007035:Hypothermia / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D009325:Nausea / Q000209:etiology
keywords: bradycardia; grayanotoxin; hypotension; hypothermia; mad honey