Management of wild honey intoxication at resource limited setting: a case report

Introduction: Wild honey has been used in South-Asia for several purposes like peptic ulcer diseases, hypertension, and aphrodisiac issues. Consumption of honey produced from nectar of rhododendron species contains grayanotoxin which causes severe bradycardia and hypotension. Case Presentation: A 30-year-old male patient from himalayan region was brought unconscious with vomiting and profuse sweating. On examination, his pulse was 38/min, feeble, hypotension (BP-60/40 mmHg), cold and clammy extremities. 12- lead ECG showed sinus bradycardia with heart rate of 38/min with normal cardiac enzymes and normal electrolytes. He was managed with 2L of intravenous normal saline, IV atropine and monitoring. His heart rate was normalized within 6 hours and was discharged normally at 48 hours of admission. Conclusion: Timely management of wild honey ingestion can prevent fatal complication even at resource limited setting where there are no facility of coronary care unit and cardiologist.