Clinical spectrum of wild (mad) honey poisoning: a case series from a tertiary care center in Nepal

Wild (mad) honey poisoning can present with a wide clinical spectrum, including anaphylaxis. High clinical suspicion based on ingestion history is crucial, especially in endemic areas. Early recognition and timely supportive care are essential to ensure full recovery. However, this study is limited by its small sample size, single-center design, reliance on patient-reported ingestion history, and the inability to quantify grayanotoxin levels. Further research is needed to better understand the toxicokinetics and to establish standardized management protocols.