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Wilderness Environ Med. 2016 Jun;27(2):271-3. doi: 10.1016/j.wem.2016.01.002. Epub 2016 May 4.

Fatal Honey Poisoning Caused by Tripterygium wilfordii Hook F in Southwest China: A Case Series.

Author information

1
Yunnan Center for Disease Control and Prevention, Kunming, China (Drs Zhang, Liu, Wan, and Li); Department of Epidemiology, University of Florida, Gainesville, FL (Drs Zhang and Chen). Electronic address: zhangqiang_cs@aliyun.com.
2
Department of Epidemiology, University of Florida, Gainesville, FL (Drs Zhang and Chen).
3
Yunnan Academy of Agricultural Science, Mengzi, China (Ms Chen).
4
Yunnan Center for Disease Control and Prevention, Kunming, China (Drs Zhang, Liu, Wan, and Li).

Abstract

Mad honey poisoning has been reported in many countries, and it seldom results in death. We describe a rare case series of fatal honey poisoning caused by Tripterygium wilfordii Hook F (TwHF) in Southwest China. Three male construction workers were delivered to the emergency department with symptoms of food poisoning after ingestion of wild raw honey. Laboratory results showed that the 3 patients were at different degrees of renal damage, and 1 patient with severe symptoms died of acute renal failure 1 day after admission. Pollen analysis indicated that the suspected honey was heavily contaminated with TwHF pollen. Early diagnosis and prompt treatment are crucial for such poisoning. Pollen analysis is a practical approach to help diagnosis in remote areas where such honey poisoning occurs.

KEYWORDS:

acute renal failure; honey poisoning; pollen analysis

PMID:
27132027
DOI:
10.1016/j.wem.2016.01.002
[Indexed for MEDLINE]

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