A New Risk Factor for Hepatic Encephalopathy: Ingestion of Mad Honey

Hepatic encephalopathy (HE) is a neuropsychiatric syndrome that occurs in the severe liver dysfunction and characterized by wide range of central nervous system symptoms. HE precipitated with mostly infections, gastrointestinal bleeding, diuretic overdose, electrolyte imbalance, constipation drugs. Traditional local foods for example honey can contain toxins could cause acute decompensation patients chronic disease (CLD). This dose related Spectrum symptoms are from nausea vomiting to life threatening bradycardia and/or hypotension. In this paper; we reported first time English literature cirrhotic case due consumption mad honey.