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

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• 作者：Qiang Zhang ; MD ; MPH^a ; ^b ; ^{zhangqiang_cs@aliyun.com" class="auth_mail" title="E-mail the corresponding author} ; Xinguang Chen ; PhD^b ; Shunan Chen ; MS^c ; Zhitao Liu ; MD ; MPH^a ; Rong Wan ; MD^a ; Juanjuan Li ; MD ; MPH^a
• 关键词：honey poisoning ; acute renal failure ; pollen analysis
• 刊名：Wilderness & Environmental Medicine
• 出版年：2016
• 出版时间：June 2016
• 年：2016
• 卷：27
• 期：2
• 页码：271-273
• 全文大小：365 K

文摘

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.