Jornal de Toxicologia Clínica
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A Case Report on Wild Honey- Induced Grayanotoxin Poisoning from Nepal

Pratik Baral*, Aayush Adhikari, Alisha Yadav, Baburam Acharya, Peter Neupane, Yashaswi Kafle, Binita Bastola, Aadesh Paudel, Rajkumar Chochangi

This case report presents an uncommon occurrence of grayanotoxin poisoning in a 52-year-old hypertensive individual from the Himalayan village of Chame, Nepal. Grayanotoxin, sourced from the Rhododendron plant, is extracted by bees to produce honey that contains this toxin, commonly known as mad honey. Consumption of mad honey can induce cholinergic symptoms such as hypotension, bradycardia, and dizziness. The patient presented with these symptoms and received immediate emergency treatment at Manang hospital. After 24 hours of observation, the patient returned to normal health.