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Annals of Emergency Medicine 2017-Nov

Cannabis Intoxication Case Series: The Dangers of Edibles Containing Tetrahydrocannabinol.

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Kathy T Vo
Howard Horng
Kai Li
Raymond Y Ho
Alan H B Wu
Kara L Lynch
Craig G Smollin

Keywords

Abstract

OBJECTIVE

Cannabis and its principal active constituent, Δ9-tetrahydrocannabinol (THC), are increasingly available as edibles resembling commercially available food products. In this case series, we describe a population of predominantly pediatric patients who were inadvertently exposed to a THC-containing product in San Francisco.

METHODS

Twelve children and 9 adults were identified, with 16 patients having detectable serum THC and THC metabolites. All patients presented to hospitals with a variety of constitutional symptoms and all were discharged home within 12 hours.

RESULTS

In general, pediatric patients had more severe symptoms and longer hospital length of stay, and, uniquely, a majority presented with leukocytosis and elevated lactic acid levels.

CONCLUSIONS

We recommend that efforts be made to increase general public awareness in regard to the potential hazards of THC-containing edibles resembling commercially available food products.

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