Introduction
Honey is a naturally produced food having different compositions
depending upon geography and species of bee [1]. Wild (mad) honey
differs from commercial honey as it contains grayanotoxin [2]. Wild
honey poisoning has been reported in Nepal, Turkey, and Korea [3].
Its symptoms range from dizziness, vomiting, syncope, and sweating to
more serious effects like bradycardia and hypotension. These effects are
usually self-limiting and resolve within 24 hours [2]. Here, we
report a case of a wild honey poisoning in the capital city in Central
Nepal presenting with hypotension that was initially stabilized with
fluid resuscitation but later again deteriorated which required
vasopressor support with nor-adrenaline. This case report has been
prepared in accordance with the CARE guidelines [4].