id,report_date,onset_date,place,country_of_report,age,sex,honey_origin,honey_channel,symptoms,outcome,source_name,source_url
DE-2010-01,2010,not stated (BfR evaluated it in 2010),"Hesse, Germany",Germany,,,Turkey (Black Sea region),not stated,disturbance of consciousness and bradycardia about 4 h after an unknown amount,medical treatment; symptoms faded within 24 h,"BfR 2010 evaluation of a case reported to the Hessian consumer-protection ministry, as summarised in EFSA CONTAM Panel opinion, EFSA Journal 2023;21(3):7866",https://doi.org/10.2903/j.efsa.2023.7866
TR-PM22163140a,2011,not stated,"Kayseri, Turkey (per author affiliation)",Turkey,50,M,Turkey (Black Sea area),not stated; eaten daily for a week by a married couple to improve sexual performance,acute inferior myocardial infarction pattern within 3 h of a larger dose; normal coronary arteries,resolved with atropine; rhododendron pollen found in the honey,"Yarlioglues et al., Tex Heart Inst J 2011;38:577-80 (PMID 22163140)",https://pubmed.ncbi.nlm.nih.gov/22163140/
TR-PM22163140b,2011,not stated,"Kayseri, Turkey (per author affiliation)",Turkey,42,F,Turkey (Black Sea area),not stated; eaten daily for a week by a married couple to improve sexual performance,acute inferior myocardial infarction pattern within 3 h of a larger dose; normal coronary arteries,resolved with atropine; rhododendron pollen found in the honey,"Yarlioglues et al., Tex Heart Inst J 2011;38:577-80 (PMID 22163140)",https://pubmed.ncbi.nlm.nih.gov/22163140/
TR-PM22179175,2011,not stated,"Duzce, Turkey (per author affiliation)",Turkey,70,M,not stated,not stated,"weakness, palpitation, nausea, vomiting, confusion after a few teaspoons; BP 60/20; paroxysmal atrial fibrillation, intermittent left bundle branch block","sinus rhythm in 6 h, discharged day 2","Saritas et al., Clinics (Sao Paulo) 2011;66:1651-3 (PMID 22179175)",https://pubmed.ncbi.nlm.nih.gov/22179175/
TR-PM21972794,2011-10-05,not stated,"Duzce, Turkey (per author affiliation)",Turkey,48,,not stated (rhododendron pollen confirmed),not stated,acute anterior wall myocardial infarction after mad honey,stent to a 99% LAD stenosis (underlying coronary disease),"Sumerkan et al., Clin Toxicol (Phila) 2011;49:872-3 (PMID 21972794)",https://pubmed.ncbi.nlm.nih.gov/21972794/
TR-PM22056548,2011-11-06,not stated,"Ankara, Turkey (per author affiliation)",Turkey,36,M,not stated,not stated,atrial fibrillation with slow ventricular response,not stated in abstract,"Bayram et al., J Emerg Med 2012;43:e389-91 (PMID 22056548)",https://pubmed.ncbi.nlm.nih.gov/22056548/
TR-PM22527815,2012-04-19,not stated,"Zonguldak, Turkey (per author affiliation)",Turkey,76,M,not stated,not stated,transient ST elevation and left bundle branch block,not stated in abstract,"Sayin et al., Wien Klin Wochenschr 2012;124:278-81 (PMID 22527815)",https://pubmed.ncbi.nlm.nih.gov/22527815/
TR-PM22923947,2012-07,not stated,"Sakarya, Turkey (per author affiliation)",Turkey,54,M,Turkey (Black Sea region),not stated,"nausea, vomiting, dizziness, chest pain about 1 h after two tablespoons; HR 40, BP 70/40; atrial fibrillation with slow ventricular response",normal coronaries; discharged after 48 h,"Osken et al., J Cardiovasc Dis Res 2012;3:245-7 (PMID 22923947)",https://pubmed.ncbi.nlm.nih.gov/22923947/
HK-2012-01,2013-08,2012-06,Hong Kong (regional hospital),Hong Kong,48,M,Himalayan region (country not stated),gift: provided by a friend who lived near the Himalayas,"severe dizziness, chest discomfort, sweating, coffee-ground vomiting, blurred vision; BP 74/36, HR 37, transient ST elevation",recovered after atropine; cardiac care unit monitoring; grayanotoxin confirmed in urine and honey,"Chen et al., Hong Kong Med J 2013;19:354-6 (PMID 23918513), first local case",https://pubmed.ncbi.nlm.nih.gov/23918513/
HK-2013-01,2013-08-16,2013-08-15,"Hong Kong, North District Hospital",Hong Kong,49,M,Nepal,carried back from Nepal by this patient,"dizziness, numbness of both upper limbs about 2 h after 1-2 spoonfuls","general ward, stable; suspected grayanotoxin poisoning (honey sent for testing); cluster of 3, two other diners well","Centre for Health Protection, Hong Kong (press release)",https://www.info.gov.hk/gia/general/201308/16/P201308160378.htm
HK-2013-02,2013-08-16,2013-08-15,"Hong Kong, North District Hospital",Hong Kong,66,F,Nepal,"carried back from Nepal by a family member (the male patient, her son-in-law)","severe dizziness, sweating, transient loss of consciousness, seizure","cardiac care unit, serious condition at time of release; suspected grayanotoxin poisoning (honey sent for testing); cluster of 3, two other diners well","Centre for Health Protection, Hong Kong (press release)",https://www.info.gov.hk/gia/general/201308/16/P201308160378.htm
HK-2013-03,2013-08-16,2013-08-15,"Hong Kong, North District Hospital",Hong Kong,30,F,Nepal,shared by a friend (the male patient) who carried it back from Nepal,"dizziness, nausea, vomiting, sweating, limb numbness, transient loss of consciousness","cardiac care unit, serious condition at time of release; suspected grayanotoxin poisoning (honey sent for testing); cluster of 3, two other diners well","Centre for Health Protection, Hong Kong (press release)",https://www.info.gov.hk/gia/general/201308/16/P201308160378.htm
JP-PM24483011,2013-12,not stated,"Tokyo, Japan (National Center for Global Health and Medicine)",Japan,63,F,"""foreign honey"" (country not stated)",not stated,"sneezing, visual disturbance, dyspnoea after honey in hot water; BP 56/30, HR 55",improved immediately after atropine; discharged day 2 (diagnosis speculative per authors),"Inagaki et al., Chudoku Kenkyu 2013;26:310-3 (PMID 24483011)",https://pubmed.ncbi.nlm.nih.gov/24483011/
HK-2014-01,2014-05-25,2014-05-24,Hong Kong Adventist Hospital,Hong Kong,49,F,Nepal,carried back from Nepal by the patient,"dizziness, abdominal pain, nausea, transient loss of consciousness about 1 h after eating","ICU, stable; suspected grayanotoxin poisoning","Centre for Health Protection, Hong Kong (press release)",https://www.info.gov.hk/gia/general/201405/25/P201405250920.htm
DE-PM25098436,2014-08-08,not stated,"Ruesselsheim, Germany",Germany,52,M,"""pontic honey"" (per source)","not stated; patient of Turkish background, wife reported regular consumption","nausea, vomiting, syncope, sinus bradycardia",free of complaints after 24 h monitoring,"Engel et al., Med Klin Intensivmed Notfmed 2014;109:437-9 (PMID 25098436)",https://pubmed.ncbi.nlm.nih.gov/25098436/
TR-PM26161022,2015-06-29,not stated,"Zonguldak, Turkey (per author affiliation)",Turkey,55,F,not stated,bought from an unlicensed local vendor,"chest pain, nausea, weakness, dizziness after 3 tablespoons at breakfast; BP 70/45, HR 46; inferior ST elevation (type 2 myocardial infarction)",discharged after 3 days,"Karabag et al., Korean J Intern Med 2015;30:540-2 (PMID 26161022)",https://pubmed.ncbi.nlm.nih.gov/26161022/
TR-PM26437804a,2015-10-04,not stated,"Trabzon, Turkey (per author affiliation)",Turkey,66,M,not stated,not stated,"nausea, vomiting, faintness 2 h after eating; temperature 34 C, BP 70/40, HR 30 (hypothermia)",discharged in good condition,"Aygun et al., J Emerg Med 2016;50:51-4 (PMID 26437804)",https://pubmed.ncbi.nlm.nih.gov/26437804/
TR-PM26437804b,2015-10-04,not stated,"Trabzon, Turkey (per author affiliation)",Turkey,57,M,not stated,not stated,"headache, feeling cold, faintness 3 h after eating; temperature 35 C, BP 60/40, HR 46",discharged in good condition,"Aygun et al., J Emerg Med 2016;50:51-4 (PMID 26437804)",https://pubmed.ncbi.nlm.nih.gov/26437804/
TR-PM26437804c,2015-10-04,not stated,"Trabzon, Turkey (per author affiliation)",Turkey,79,F,not stated,not stated,"nausea, vomiting, headache 2 h after eating; temperature 35 C, BP 70/40, HR 40",discharged in good condition,"Aygun et al., J Emerg Med 2016;50:51-4 (PMID 26437804)",https://pubmed.ncbi.nlm.nih.gov/26437804/
TR-PM27239626,2016-03-11,not stated,"Istanbul, Turkey (per author affiliation)",Turkey,89,F,not stated,not stated,"nausea, weakness, faintness 2 h after 2-3 spoons; sinus bradycardia 48; acute hepatitis (raised liver enzymes)","recovered, discharged","Sari Dogan et al., Turk J Emerg Med 2015;15:185-6 (PMID 27239626)",https://pubmed.ncbi.nlm.nih.gov/27239626/
HK-2016-01,2016-09-26,2016-09-21,"Hong Kong, Tseung Kwan O Hospital",Hong Kong,50,M,Nepal,carried back from Nepal by the patient's family,"abdominal pain, sweating, dizziness about 1 h after eating","admitted, discharged 24 Sep stable; grayanotoxin detected in urine and honey","Centre for Health Protection, Hong Kong (press release)",https://www.info.gov.hk/gia/general/201609/26/P2016092600772.htm
HK-2017-01,2017-01-24,2017-01-18,"Hong Kong, Prince of Wales Hospital",Hong Kong,61,M,Nepal,gift: carried in from Nepal by a friend,"generalised weakness, numbness, chills, shortness of breath about 45 min after eating","admitted, discharged 19 Jan stable; grayanotoxin detected in urine and honey","Centre for Health Protection, Hong Kong (press release)",https://www.info.gov.hk/gia/general/201701/24/P2017012400830.htm
HK-2017-02,2017-03-30,2017-03-25,"Hong Kong, Pamela Youde Nethersole Eastern Hospital",Hong Kong,37,M,Nepal,gift: carried in from Nepal by the patient's friend,"dizziness, numbness, shortness of breath about 5 min after eating","admitted, discharged against medical advice next day, stable; grayanotoxin detected in honey","Centre for Health Protection, Hong Kong (press release)",https://www.info.gov.hk/gia/general/201703/30/P2017033000729.htm
DE-PM30755974,2018-01-31,not stated,"Oberhausen, Germany",Germany,46,F,"Turkey (""Turkish honey"")",not stated; patient of Turkish origin,"nausea, vomiting, sweating, collapse in the street about 1 h after eating; BP 60/40, HR 40, GCS 8; ICU; initially treated as myocardial infarction",full recovery within 24 h; rhododendron pollen confirmed,"Broscaru et al., Eur J Case Rep Intern Med 2018;5:000742 (PMID 30755974)",https://pubmed.ncbi.nlm.nih.gov/30755974/
NP-PM30564328,2018-10-22,not stated,"Kathmandu, Nepal (Tribhuvan University Teaching Hospital)",Nepal,52,F,Nepal (wild red honey),not stated (patient from the Gurung community),"shortness of breath, chest burning, visual hallucinations, blurred vision, lightheadedness, unsteady gait, numbness after four tablespoons",resolved within hours after atropine; uneventful discharge,"Shrestha et al., Clin Case Rep 2018;6:2355-2357 (PMID 30564328)",https://pubmed.ncbi.nlm.nih.gov/30564328/
TR-PM34422502a,2021-08-13,not stated,"Istanbul, Turkey (per author affiliation)",Turkey,50,M,not stated,not stated,"hypotension 80/50, dizziness, HR 30, complete atrioventricular block","temporary pacemaker, coronary ICU, rhythm returned to normal","Islamoglu et al., Cureus 2021;13:e17165 (PMID 34422502)",https://pubmed.ncbi.nlm.nih.gov/34422502/
TR-PM34422502b,2021-08-13,not stated,"Istanbul, Turkey (per author affiliation)",Turkey,60,M,not stated,not stated,"chest pain, hypotension, bradycardia",coronary ICU; rhythm normal after atropine,"Islamoglu et al., Cureus 2021;13:e17165 (PMID 34422502)",https://pubmed.ncbi.nlm.nih.gov/34422502/
TR-PM34422502c,2021-08-13,not stated,"Istanbul, Turkey (per author affiliation)",Turkey,46,M,not stated,not stated,"unresponsiveness and numbness, HR 47",rhythm normal after atropine,"Islamoglu et al., Cureus 2021;13:e17165 (PMID 34422502)",https://pubmed.ncbi.nlm.nih.gov/34422502/
TR-PM34422502d,2021-08-13,not stated,"Istanbul, Turkey (per author affiliation)",Turkey,56,M,not stated,not stated,"palpitation, near fainting after two teaspoons of wild honey",rhythm normal after atropine,"Islamoglu et al., Cureus 2021;13:e17165 (PMID 34422502)",https://pubmed.ncbi.nlm.nih.gov/34422502/
TR-PM34422502e,2021-08-13,not stated,"Istanbul, Turkey (per author affiliation)",Turkey,50,F,not stated,not stated,"palpitation, dizziness, bradycardia after about 10 mL",rhythm normal after atropine,"Islamoglu et al., Cureus 2021;13:e17165 (PMID 34422502)",https://pubmed.ncbi.nlm.nih.gov/34422502/
NP-PM35251653,2022-03-01,not stated,"Western Nepal (Pokhara / Palpa, per author affiliation)",Nepal,55,F,Nepal (wild honey),not stated,"dizziness, vomiting 45-60 min after 10-15 mL; BP 70/40, HR 48","ICU; left at own request after 24 h, returned 12 h later; discharged after a further 36 h","Paudel et al., Clin Case Rep 2022;10:e05527 (PMID 35251653)",https://pubmed.ncbi.nlm.nih.gov/35251653/
DE-PM35781831,2022-07-04,not stated,Germany,Germany,49,M,Turkey (Black Sea region),not stated,syncope with documented sinus node arrest,grayanotoxin poisoning proven; pacemaker implantation avoided,"Grauthoff et al., Herzschrittmacherther Elektrophysiol 2022;33:334-337 (PMID 35781831)",https://pubmed.ncbi.nlm.nih.gov/35781831/
US-PM35871991,2022-07-22,not stated,United States,United States,61,M,Turkey,gift: honey brought to the US from Turkey,"nausea, lightheadedness, loss of consciousness 30 min after eating; bradycardia, hypotension; a similar episode several days earlier","recovered after atropine and saline; grayanotoxins I and III confirmed in blood, urine and honey","DiSalvo et al., J Emerg Med 2022;63:e45-e48 (PMID 35871991)",https://pubmed.ncbi.nlm.nih.gov/35871991/
HK-2022-01,2022-12-22,2022-12-17,"Hong Kong, Queen Elizabeth Hospital",Hong Kong,28,M,Nepal (home-made honey),home-made honey carried back from Nepal by the patient,"bradycardia, hypotension, abdominal pain, dizziness, nausea, vomiting about 2.5 h after eating","admitted, discharged 19 Dec stable; grayanotoxin detected in urine and honey","Centre for Health Protection, Hong Kong (press release)",https://www.info.gov.hk/gia/general/202212/22/P2022122200660.htm
DE-2012-01,2023-05-03,2012,Germany,Germany,56,M,Turkey (Black Sea region),not on sale in German retail or origin unclear (BfR statement covering all its known cases),"bradycardia, hypotension, circulatory weakness, abdominal pain after two tablespoons",full recovery,"German Federal Institute for Risk Assessment (BfR), Q&A on grayanotoxins in honey (page dated 03.05.2023)",https://www.bfr.bund.de/fragen-und-antworten/thema/ausgewaehlte-fragen-und-antworten-zu-grayanotoxinen-in-honig/
DE-2019-01,2023-05-03,2019,Germany,Germany,40,M,Turkey (Black Sea region),not on sale in German retail or origin unclear (BfR statement covering all its known cases),severe symptoms with clouding of consciousness and bradycardia,not stated,"German Federal Institute for Risk Assessment (BfR), Q&A on grayanotoxins in honey (page dated 03.05.2023)",https://www.bfr.bund.de/fragen-und-antworten/thema/ausgewaehlte-fragen-und-antworten-zu-grayanotoxinen-in-honig/
NP-PM37363528,2023-05-10,not stated,"Dharan, Nepal (B.P. Koirala Institute of Health Sciences)",Nepal,40,M,Nepal (Taplejung district),bought (honey bought from Taplejung district),"blurred vision, loose stools, vomiting, sweating, loss of consciousness after three tablespoons; HR 38, SBP 60; suspected anaphylaxis",recovered in about 8 h; well at monthly follow-up (paper gives age as 40 and 41),"Anand et al., Ann Med Surg (Lond) 2023;85:3075-3078 (PMID 37363528)",https://pubmed.ncbi.nlm.nih.gov/37363528/
NP-PM37427211,2023-06-07,not stated,"Nepal (Kathmandu / Chitwan, per author affiliation)",Nepal,62,M,Nepal (wild honey),not stated,"chest heaviness, shortness of breath, nausea, headache, loss of consciousness after two teaspoons; HR 38",coronary care unit 48 h with vasopressors; discharged stable,"Baniya et al., Ann Med Surg (Lond) 2023;85:3649-3652 (PMID 37427211)",https://pubmed.ncbi.nlm.nih.gov/37427211/
HK-2023-01,2023-11-13,2023-11-12,"Hong Kong, Queen Elizabeth Hospital",Hong Kong,65,F,India (home-made honey),gift: home-made honey carried in from India by a friend,"vomiting, confusion, hypotension, bradycardia about 1 h after eating","admitted, stable, still in hospital at release; clinical diagnosis mad honey poisoning","Centre for Health Protection, Hong Kong (press release)",https://www.info.gov.hk/gia/general/202311/13/P2023111300499.htm
HK-2023-02,2023-11-14,2023-11-13,"Hong Kong, Kwong Wah Hospital",Hong Kong,49,M,Nepal (home-made honey),gift: home-made honey mailed from Nepal by a friend,"dizziness, vomiting, diarrhoea about 30 min after eating; hypotension, bradycardia","admitted, stable, still in hospital at release; suspected mad honey poisoning","Centre for Health Protection, Hong Kong (press release)",https://www.info.gov.hk/gia/general/202311/14/P2023111400458.htm
NP-PM38333261,2023-12-13,not stated,"Nepal (Kathmandu, per author affiliation)",Nepal,51,F,Nepal (Lamjung district),not stated,"nausea, vomiting, abdominal pain, sweating, dizziness, facial and lip swelling after four tablespoons; BP 70/50, HR 47; anaphylactic shock","ICU 2 days, discharged; well at 2 weeks","Jha et al., Ann Med Surg (Lond) 2024;86:1120-1123 (PMID 38333261)",https://pubmed.ncbi.nlm.nih.gov/38333261/
HK-2024-01,2024-02-02,2024-01-31,"Hong Kong, Queen Mary Hospital",Hong Kong,56,M,Nepal (home-made honey),gift: home-made honey mailed from Nepal by a friend,"dizziness, vomiting about 30 min after eating; hypotension, bradycardia","admitted, discharged 1 Feb stable; suspected mad honey poisoning","Centre for Health Protection, Hong Kong (press release)",https://www.info.gov.hk/gia/general/202402/02/P2024020200673.htm
HK-2024-02,2024-06-15,2024-06-14,"Hong Kong, Kwong Wah Hospital",Hong Kong,35,M,Nepal,gift: mailed from Nepal by a friend,"dizziness, vomiting about 30 min after eating; hypotension, bradycardia","admitted, stable; suspected mad honey poisoning","Centre for Health Protection, Hong Kong (press release)",https://www.info.gov.hk/gia/general/202406/15/P2024061500580.htm
US-PM39036130a,2024-06-20,not stated,"Black Rock Desert, Nevada (Burning Man festival)",United States,31,M,not stated,"not stated; recreational use, mixed with bourbon","vomiting, diarrhoea; BP 80/50, HR 44",treated with atropine and fluids; discharged,"Ali et al., Cureus 2024;16:e62755 (PMID 39036130)",https://pubmed.ncbi.nlm.nih.gov/39036130/
US-PM39036130b,2024-06-20,not stated,"Black Rock Desert, Nevada (Burning Man festival)",United States,38,M,not stated,"not stated; recreational use, three shots mixed with bourbon (also ketamine)","vomiting, diarrhoea; bradycardia, hypotension",treated with atropine and fluids; discharged,"Ali et al., Cureus 2024;16:e62755 (PMID 39036130)",https://pubmed.ncbi.nlm.nih.gov/39036130/
US-PM39036130c,2024-06-20,not stated,"Black Rock Desert, Nevada (Burning Man festival)",United States,35,M,not stated,"not stated; recreational use, three shots mixed with bourbon","vomiting, increased flatus; bradycardia, hypotension",treated with atropine and fluids; discharged,"Ali et al., Cureus 2024;16:e62755 (PMID 39036130)",https://pubmed.ncbi.nlm.nih.gov/39036130/
HK-2024-03,2024-06-25,2024-06-24,"Hong Kong, Kwong Wah Hospital",Hong Kong,50,M,Nepal,gift: carried in from Nepal by a friend,"dizziness, vomiting, shortness of breath about 30 min after eating; hypotension, bradycardia","admitted, stable; suspected mad honey poisoning","Centre for Health Protection, Hong Kong (press release)",https://www.info.gov.hk/gia/general/202406/25/P2024062500503.htm
HK-2024-04,2024-08-05,2024-08-04,"Hong Kong, Kwong Wah Hospital",Hong Kong,42,F,Nepal,gift: carried in from Nepal by a friend,"hypersalivation, dizziness, nausea, vomiting, drowsiness about 1 h after eating; hypotension, bradycardia","admitted, stable; suspected mad honey poisoning","Centre for Health Protection, Hong Kong (press release)",https://www.info.gov.hk/gia/general/202408/05/P2024080500371.htm
NP-PM39239017a,2024-08-14,2023-02-22,Nepal (tertiary care centre; authors at Nepal Army Institute of Health Sciences and others),Nepal,29,M,Nepal (wild honey),not stated,"vomiting, dizziness after one tablespoon; BP 80/40, HR 48","ICU 24 h, discharged","Thapa et al., Ann Med Surg (Lond) 2024;86:4975-4978 (PMID 39239017)",https://pubmed.ncbi.nlm.nih.gov/39239017/
NP-PM39239017b,2024-08-14,2022-10-31,Nepal (tertiary care centre; authors at Nepal Army Institute of Health Sciences and others),Nepal,45,M,Nepal (wild honey),not stated,"vomiting after one teaspoon; BP 60/40, HR 45","ward, discharged next day","Thapa et al., Ann Med Surg (Lond) 2024;86:4975-4978 (PMID 39239017)",https://pubmed.ncbi.nlm.nih.gov/39239017/
NP-PM39239017c,2024-08-14,2022-10-31,Nepal (tertiary care centre; authors at Nepal Army Institute of Health Sciences and others),Nepal,51,M,Nepal (wild honey),not stated,"vomiting after one spoon; bradycardia, hypotension","ward, discharged next day","Thapa et al., Ann Med Surg (Lond) 2024;86:4975-4978 (PMID 39239017)",https://pubmed.ncbi.nlm.nih.gov/39239017/
NP-PM39239017d,2024-08-14,2022-10-31,Nepal (tertiary care centre; authors at Nepal Army Institute of Health Sciences and others),Nepal,46,M,Nepal (wild honey),not stated,"shortness of breath, vomiting after about 2 tablespoons; anaphylaxis signs","ICU 24 h, discharged","Thapa et al., Ann Med Surg (Lond) 2024;86:4975-4978 (PMID 39239017)",https://pubmed.ncbi.nlm.nih.gov/39239017/
NP-PM39239017e,2024-08-14,2023-04-16,Nepal (tertiary care centre; authors at Nepal Army Institute of Health Sciences and others),Nepal,51,F,Nepal (wild honey),not stated,"vomiting, facial swelling; anaphylaxis signs","ICU 24 h, discharged","Thapa et al., Ann Med Surg (Lond) 2024;86:4975-4978 (PMID 39239017)",https://pubmed.ncbi.nlm.nih.gov/39239017/
HK-2024-05,2024-10-17,2024-10-17,"Hong Kong, North District Hospital",Hong Kong,48,M,Nepal,gift: carried in from Nepal by a friend,"dizziness, vomiting, syncope about 2 h after eating","admitted, stable; suspected mad honey poisoning","Centre for Health Protection, Hong Kong (press release)",https://www.info.gov.hk/gia/general/202410/17/P2024101700446.htm
HK-2024-06,2024-10-23,2024-10-22,"Hong Kong, Queen Elizabeth Hospital",Hong Kong,35,F,Nepal,gift: carried in from Nepal by a friend,"dizziness, convulsions, loss of consciousness about 30 min after eating","admitted, stable; suspected mad honey poisoning","Centre for Health Protection, Hong Kong (press release)",https://www.info.gov.hk/gia/general/202410/23/P2024102300460.htm
NP-PM39493785,2024-11-01,not stated,"Morang, Nepal (Birat Medical College)",Nepal,60,M,Nepal (wild honey stored 2 years),not stated; taken on a local healer's advice mixed with about 400 mL of local alcohol,"syncope with a fall, nasal bleeding, dizziness, headache, lung haziness",recovered with treatment,"Khan et al., Clin Case Rep 2024;12:e9555 (PMID 39493785)",https://pubmed.ncbi.nlm.nih.gov/39493785/
HK-2024-07,2024-11-06,2024-10-31,"Hong Kong, Queen Mary Hospital",Hong Kong,44,F,Nepal,carried back from Nepal by the patient,"bradycardia, hypotension, dizziness about 30 min after eating","admitted, discharged 1 Nov stable; grayanotoxin detected in urine and honey","Centre for Health Protection, Hong Kong (press release)",https://www.info.gov.hk/gia/general/202411/06/P2024110600625.htm
HK-2024-08,2024-12-02,2024-11-29,"Hong Kong, North Lantau Hospital then Princess Margaret Hospital",Hong Kong,57,M,Nepal,gift: carried in from Nepal by a friend,"dizziness, syncope about 3 h after eating",stable after treatment; suspected mad honey poisoning,"Centre for Health Protection, Hong Kong (press release)",https://www.info.gov.hk/gia/general/202412/02/P2024120200448.htm
NP-PM39764260,2025-01-06,not stated,"Kathmandu, Nepal (per author affiliation)",Nepal,65,M,Nepal,not stated,"nausea, vomiting, dizziness, altered mental state 25 min after 30 mL; BP 60/40, HR 40","ICU 120 h, then ward; discharged in sinus rhythm","Hossain et al., Clin Case Rep 2025;13:e70069 (PMID 39764260)",https://pubmed.ncbi.nlm.nih.gov/39764260/
NP-PM40213180,2025-02-27,not stated,"Chame, Manang district, Nepal",Nepal,52,M,Nepal (stored wild honey),not stated; taken as medicine for abdominal pain,"dizziness, vomiting, sweating, hypersalivation 30 min after two teaspoons; BP 48/32, HR 49","atropine and low-dose vasopressor; discharged, well at follow-up","Adhikari et al., Ann Med Surg (Lond) 2025;87:1667-1669 (PMID 40213180)",https://pubmed.ncbi.nlm.nih.gov/40213180/
US-PM40230776,2025-03-15,not stated,"Phoenix, Arizona (Mayo Clinic)",United States,49,F,Nepal,bought by the patient during a trip to Nepal,"lightheadedness, head pressure, nausea, flushing after two cups of tea with the honey; BP 82/44, HR 47",supportive care without atropine; discharged stable,"Van Ligten et al., Cureus 2025;17:e80631 (PMID 40230776)",https://pubmed.ncbi.nlm.nih.gov/40230776/
HK-2025-01,2025-04-24,2025-04-23,"Hong Kong, Queen Elizabeth Hospital",Hong Kong,44,M,Nepal,gift: carried in from Nepal by a relative,"syncope about 30 min after eating; hypotension, bradycardia","observed in hospital, later discharged; suspected mad honey poisoning","Centre for Health Protection, Hong Kong (press release)",https://www.info.gov.hk/gia/general/202504/24/P2025042400478.htm
HK-2025-02,2025-06-05,2025-06-05,"Hong Kong, Pok Oi Hospital",Hong Kong,51,F,Nepal,gift: carried in from Nepal by a relative,"dizziness about 30 min after eating; hypotension, bradycardia","observed in hospital, stable; suspected mad honey poisoning","Centre for Health Protection, Hong Kong (press release)",https://www.info.gov.hk/gia/general/202506/05/P2025060500616.htm
QA-PM40606291,2025-06-25,not stated,"Doha, Qatar",Qatar,40,M,Nepal,"gift: offered by a friend who had brought it from Nepal (the friend ate it too, without symptoms)","dizziness, near fainting about 3 h after about 50 g; HR under 30, hypotension",discharged within 24 h; reported as the first known case in Qatar,"Jamal et al., Case Rep Med 2025;2025:2632633 (PMID 40606291)",https://pubmed.ncbi.nlm.nih.gov/40606291/
NP-PM40655457a,2025-07-11,not stated,"Banepa, Nepal (Scheer Memorial Adventist Hospital)",Nepal,65,M,Nepal (wild honey),not stated,"nausea, vomiting, limb weakness, diplopia, blackouts, chest discomfort after two teaspoons twice; reached hospital 26 h later; BP 60/40, HR 35",vasopressors; discharged day 4,"Kafle et al., Clin Case Rep 2025;13:e70628 (PMID 40655457)",https://pubmed.ncbi.nlm.nih.gov/40655457/
NP-PM40655457b,2025-07-11,not stated,"Banepa, Nepal (Scheer Memorial Adventist Hospital)",Nepal,35,M,Nepal (wild honey),not stated; taken in warm water for a common cold,"dizziness, syncope 20-25 min after two tablespoons",discharged day 3,"Kafle et al., Clin Case Rep 2025;13:e70628 (PMID 40655457)",https://pubmed.ncbi.nlm.nih.gov/40655457/
HK-2025-03,2025-10-06,2025-10-05,"Hong Kong, Kwong Wah Hospital",Hong Kong,38,M,Nepal (honey produced in Nepal),not stated,"dizziness, nausea, generalised weakness about 2 h after eating; bradycardia","observed in hospital, stable; suspected mad honey poisoning","Centre for Health Protection, Hong Kong (press release)",https://www.info.gov.hk/gia/general/202510/06/P2025100600612.htm
NP-PM41496998,2025-11-17,not stated,"Pokhara, Nepal (Manipal College of Medical Sciences)",Nepal,20,M,Nepal (wild honey),not stated; ingested accidentally,"dizziness, nausea, bradycardia, repeated brief generalised tonic spasms",ICU; stable after 24 h,"Sah et al., Ann Med Surg (Lond) 2026;88:795-798 (PMID 41496998)",https://pubmed.ncbi.nlm.nih.gov/41496998/
NP-PM41888643,2026-03-27,not stated,"Rupandehi, Nepal (Mercy City Hospital)",Nepal,59,M,Nepal,locally sourced,"nausea, vomiting, dizziness 60-80 min after 3-4 teaspoons; BP 60/40, HR 42",discharged next day; normal at 2-week follow-up,"Pahari et al., Int J Emerg Med 2026;19: (PMID 41888643)",https://pubmed.ncbi.nlm.nih.gov/41888643/
HK-2026-01,2026-05-06,2026-04-30,"Hong Kong, Pok Oi Hospital",Hong Kong,59,F,Turkey (Turkiye),bought by the patient in Turkey and carried back (Chinese-language release: purchased),"chest discomfort, dizziness, transient blurred vision, near syncope about 30 min after eating","admitted, discharged 1 May; grayanotoxin detected in urine and honey; Turkish authority to be informed","Centre for Health Protection, Hong Kong (press release)",https://www.info.gov.hk/gia/general/202605/06/P2026050600675.htm
UK-PM42344828,2026-05-24,not stated,"Maidstone, England (per author affiliation)",United Kingdom,75,M,Nepal,gift: brought from Nepal as a gift,"near-syncope, dizziness, lethargy, nausea, diarrhoea 1 h after 20-30 mL; BP 65/41, HR 45",discharged home without sequelae,"Alkhafaji et al., Cureus 2026;18:e109538 (PMID 42344828)",https://pubmed.ncbi.nlm.nih.gov/42344828/
NP-PM42381073,2026-06-30,not stated,"Nawalparasi, Nepal (Manipal College of Medical Sciences)",Nepal,38,M,Nepal,"locally obtained, deliberately consumed","dizziness, vomiting, tingling 30 min after one tablespoon in warm water; HR 45, BP 90/60","coronary care unit 48 h, no complications","Ghimire et al., J Med Case Rep 2026;20: (PMID 42381073)",https://pubmed.ncbi.nlm.nih.gov/42381073/
TR-PM42497466,2026-07-21,not stated,"Giresun, Turkey (per author affiliation)",Turkey,62,M,not stated,not stated,"dizziness, nausea, cold sweats 30 min after a tablespoon; BP 70/40, sinus bradycardia, marked QTc prolongation, giant inverted T waves",recovered within 24 h with fluids and magnesium,"Aydın et al., J Electrocardiol 2026;98:154413 (PMID 42497466)",https://pubmed.ncbi.nlm.nih.gov/42497466/