title: Hypotension and Bradycardia Caused by the Inadvertent Ingestion of Rhododendron japonicum.
abstract: A 61-year-old man was transferred to our hospital with the complaints of dizziness, severe nausea and abdominal discomfort after consuming approximately 50 g of the flowers of Rhododendron japonicum. On admission, hypotension and sinus bradycardia were evident. Symptoms including hypotension and bradycardia completely recovered within 12 hours following normal saline infusion and intravenous atropine. The ingestion of certain types of Rhododendron species can cause intoxication, referred to as "mad honey poisoning", due to the action of grayanotoxins. This is the first local case of acute intoxication caused by Rhododendron japonicum.
authors.affiliation: Department of Nephrology, Uonuma Institute of Community Medicine, Niigata University Medical and Dental Hospital, Japan.
authors.forename: Ryo
authors.initials: R
authors.lastname: Koda
authors.forename: Miho
authors.initials: M
authors.lastname: Honma
authors.forename: Kazuo
authors.initials: K
authors.lastname: Suzuki
authors.forename: Akio
authors.initials: A
authors.lastname: Kasai
authors.forename: Tetsuro
authors.initials: T
authors.lastname: Takeda
authors.forename: Ichiei
authors.initials: I
authors.lastname: Narita
authors.forename: Kazukiyo
authors.initials: K
authors.lastname: Yoshida
mesh_terms: D001919:Bradycardia / Q000139:chemically induced*; D006801:Humans; D007022:Hypotension / Q000139:chemically induced*; D008297:Male; D008875:Middle Aged; D029793:Rhododendron / Q000506:poisoning*