Abstract
Wild Honey poisoning is caused by ingestion of wild honey obtained from the nectar of some species of Rhododendron, consuming leaves and flowers of Rhododendron found in the higher altitudes of Nepal which has traditionally been used by indigenous people of Nepal especially Himalayan belt of Nepal for its medicinal properties. The cause of poisoning is the toxin called grayanotoxin which is a naturally occurring sodium channel toxin that leads to life threatening bradycardia, hypotension and altered mental status but sometime it may present with rare life threatening atrioventricular block and cardiovascular collapse. Wild honey intoxication has widely been reported from Turkey, regions around the Black sea, Austria, Korea and some cases from Nepal. Wild honey poisoning is not the uncommon presentation to emergency department of Chitwan Medical College as it is located to central part of Nepal. We report a case of wild honey poisoning who was referred to our hospital with arrhythmia and hypotension. Keywords: 2:1 Atrioventricular block, Grayanotoxin, Hypotension, Nepal, Wild honey.
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