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FATAL HONEY POISONING IN SOUTHWEST CHINA: A CASE SERIES OF 31 CASES

文献类型： 外文期刊

作者： Zhang, Qiang 1 ; Chen, Xinguang 2 ; Chen, Shunan 3 ; Ye, Yinlong 4 ; Luo, Jiancheng 4 ; Li, Juanjuan 1 ; Yu, Siyang 1 ; L 1 ;

作者机构： 1.Yunnan Ctr Dis Control & Prevent, Dept Nutr & Food Hyg, 158 Dongsi St, Kunming 650022, Peoples R China

2.Univ Florida, Dept Epidemiol, Gainesville, FL USA

3.Yunnan Acad Agr Sci, Sericulture Bee Res Inst, Mengzi, Peoples R China

4.Lanping Ctr Dis Control & Prevent, Dept Endem Dis Control, Lanping, Peoples R China

关键词： honey;intoxication;triptolide;pollen analysis

期刊名称：SOUTHEAST ASIAN JOURNAL OF TROPICAL MEDICINE AND PUBLIC HEALTH （ 影响因子：0.267； 五年影响因子：0.558 ）

ISSN： 0125-1562

年卷期： 2017 年 48 卷 1 期

页码：

收录情况： SCI

摘要： Honey poisoning cases occur in southwestern China. In this case series, we attempted to determine the symptoms and causes of honey poisoning from 2007 to 2012 in southwestern China. We also conducted a quantitative melissopalynological analysis of honey samples. During the study period, 31 honey poisoning cases occurred in the study location, all during July to August. All the cases occurred after consuming at least 100 grams of honey. The most frequent symptoms were nausea and vomiting (100%), abdominal pain (90.3%), diarrhea (74.2%), palpitations (61.3%), dizziness (54.8%), chest congestion (48.4%) and dyspnea (48.4%). Severe cases developed oliguria/anuria, twitch, hematuria, ecchymosis or hematochezia. The median time from ingestion to onset of symptoms was 29 hours. Eight patients died (mortality rate: 25.8%). The pollen of Tripterygium hypoglaucum (a plant with poisonous nectar and pollen) was detected in 22 of 29 honey samples examined (75.9%). The results of pollen analysis were consistent with the clinical findings of previous cases. T. hypoglaucum appears to be the cause of honey poisoning in southwestern China. Honey poisoning should be included in the differential diagnosis of patients who consume honey in this region and develop symptoms of food poisoning.

  • 相关文献

[1]Fatal Honey Poisoning Caused by Tripterygium wilfordii Hook F in Southwest China: A Case Series. Zhang, Qiang,Liu, Zhitao,Wan, Rong,Li, Juanjuan,Zhang, Qiang. 2016

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