Clinical presentation of non–ST-segment elevation myocardial infarction in the course of intoxication with mad honey

We present a case of a 41-year-old man with coronary artery disease who presented with severe chest pain, ST-segment depressions on electrocardiography, low values of blood pressure, and elevated troponin I and creatine kinase isoenzyme MB levels after poisoning with mad honey. Coronary angiography showed normal epicardial arteries. The toxic properties of mad honey as well as hypotension are considered the reasons for the symptoms in the presented case.