MAD HONEY POISONING PRESENTING AS TRANSIENT ISCHEMIC ATTACK

Mad honey poisoning is a clinical state resulting from the ingestion of honey produced in the Black Sea region of Turkey. This honey is produced from the nectar of the Rhododendron Ponticum plant. Grayanotoxin is responsible for this cholinergic syndrome, presenting with either one or a combination of two or more of lightheadedness, weakness, diaphoresis, nausea, vomiting, salivation, depressed cognitive function, syncope, blurred vision, paresthesia in the perioral region or extremities, cyanosis and convulsions shortly following ingestion of mad honey. Hypotension and bradycardia are the most commonly seen signs of toxicity. Symptoms usually respond well to intravenous fluid replacement and atropine, and relieve within 24 hours. In this paper, we report a case of mad honey poisoning in a 67 years old patient who presented with weakness on his right side, mimicking transient ischemic attack.