Mad Honey Poisoning: Another Substance causing Muscarinic Overactivity
Abstract
Mad honey syndrome is the poisoning by Grayanotoxin,
produced by plants of genus Rhododendron of Ericacea
family. Grayanotoxin poisoning is relatively uncommon
and is encountered mostly in Nepal and Turkey, where the
plants are found in abundance. The similarity between the
symptoms of Grayanotoxin toxicity and organophosphate
compounds (OPC) poisoning poses the challenge of
differentiating between the two, and a possibility of atropine
poisoning while treating as OPC poisoning. Here we report
the first ever case of “Mad Honey Syndrome” in Bangladesh,
where meticulous history taking helped us in proper diagnosis
and appropriate management.