Sinus Arrest From Mad Honey Disease
Authors: Carsten Lennerz, Clemens Jilek, Verena Semmler, Isabel Deisenhofer, Christof Kolb
Journal: Annals of Internal Medicine (2012)

Letters20 November 2012Sinus Arrest From Mad Honey DiseaseCarsten Lennerz, MD, Clemens Jilek, MD, Verena Semmler, MD, Isabel Deisenhofer, PhD, and Christof Kolb, PhDCarsten Lennerz, MDFrom Deutsches Herzzentrum München, Klinik für Herz- und Kreislauferkrankungen, TU München, 80636 Munich, Germany., Clemens Jilek, MDFrom Deutsches Herzzentrum München, Klinik für Herz- und Kreislauferkrankungen, TU München, 80636 Munich, Germany., Verena Semmler, MDFrom Deutsches Herzzentrum München, Klinik für Herz- und Kreislauferkrankungen, TU München, 80636 Munich, Germany., Isabel Deisenhofer, PhDFrom Deutsches Herzzentrum München, Klinik für Herz- und Kreislauferkrankungen, TU München, 80636 Munich, Germany., and Christof Kolb, PhDFrom Deutsches Herzzentrum München, Klinik für Herz- und Kreislauferkrankungen, TU München, 80636 Munich, Germany.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-157-10-201211200-00021 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Background: Global travel presents physicians with diseases they have never encountered.Objective: To describe the introduction of an old disease from 1 part of the world to another.Case Report: We encountered a 69-year-old man in our outpatient clinic in Munich, Germany, who requested that his pacemaker be removed.Six months earlier, he had been admitted to another hospital with a history of syncope and had sinus arrest with a junctional escape rhythm of 32 beats/min, which led to implantation of the pacemaker. The patient told us that the syncope and heart rhythm disturbances were associated with eating honey. He ...References1. Choo YK, Kang HY, Lim SH. Cardiac problems in mad-honey intoxication. Circ J. 2008;72:1210-1. [PMID: 18577838] CrossrefMedlineGoogle Scholar2. Gunduz A, Meriçé ES, Baydin A, Topbas M, Uzun H, Türedi S, et al. Does mad honey poisoning require hospital admission? Am J Emerg Med. 2009;27:424-7. [PMID: 19555612] CrossrefMedlineGoogle Scholar3. Yavuz H, Ozel A, Akkus I, Erkul I. Honey poisoning in Turkey [Letter]. Lancet. 1991;337:789-90. [PMID: 1672407] CrossrefMedlineGoogle Scholar4. Koca I, Koca AF. Poisoning by mad honey: a brief review. Food Chem Toxicol. 2007;45:1315-8. [PMID: 17540490] CrossrefMedlineGoogle Scholar5. Eller P, Hochegger K. Honey intoxication and the Bezold-Jarisch reflex [Letter]. Int J Cardiol. 2010;144:251. [PMID: 19176253] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Deutsches Herzzentrum München, Klinik für Herz- und Kreislauferkrankungen, TU München, 80636 Munich, Germany.Disclosures: Dr. Lennerz: Travel/accommodations/meeting expenses unrelated to activities listed: attendance at the annual meeting of the German Cardiac Society paid by Sorin. Dr. Kolb: Board membership: Sorin; Consultancy: Biotronik; Grants/grants pending (money to institution): Biotronik, Medtronic, Sorin, St. Jude Medical, Stereotaxis; Payment for lectures including service on speakers bureaus: Biotronik, Boston Scientific, Medtronic, Sorin; Travel/accommodations/meeting expenses unrelated to activities listed: Biotronik, Medtronic, Sorin, St. Jude Medical. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByMad honey: uses, intoxicating/poisoning effects, diagnosis, and treatmentHypotension and Bradycardia Caused by the Inadvertent Ingestion of Rhododendron japonicumEnvironmental Toxins and the HeartClinical characteristics and outcomes of patients with grayanotoxin poisoning after the ingestion of mad honey from Nepal 20 November 2012Volume 157, Issue 10Page: 755-756KeywordsBradycardiaFood poisoningHeartHeart rateHoneyIntoxicationSyncopeVital signsVomiting ePublished: 20 November 2012 Issue Published: 20 November 2012 CopyrightCopyright © 2012 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...