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KMID : 1013220060040020166
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Jouranl of the Korean Society of Clinical Toxicology
2006 Volume.4 No. 2 p.166 ~ p.169
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A Case Report of Saliva-type Hyperamylasemia in Mad Honey Poisoning
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Lee Gun-Woo
Lee Mi-Jin
Park Kyu-Nam
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Abstract
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Poisonings caused by ’’mad honey’’ are known to occur in response to grayanotoxins, which bind to sodium channels in the cell membrane, increasing membrane sodium permeability and preventing inactivation. Mild symptoms of mad honey intoxication are dizziness, weakness, hypersalivation, nausea, vomiting, and paresthesia. Severe intoxication, however, leads to serious cardiac manifestations such as atrioventricular block, dose-dependent hypotension, bradycardia, and respiratory depression. Atropine and vasoactive drugs improve symptoms of both bradycardia and respiratory rate depression. We report an unusual case of saliva-type hyperamylasemia in a mad honey poisoning patient who developed clinically significant bradycardia. She recovered fully within 3 days following atropine administration and medical treatment.
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KEYWORD
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Amylase, Saliva, Grayanotoxin, Mad honey, Poisoning
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