Kathy T Vo1, Howard Horng2, Kai Li3, Raymond Y Ho4, Alan H B Wu2, Kara L Lynch2, Craig G Smollin3. 1. Department of Emergency Medicine, University of California, San Francisco; California Poison Control System, San Francisco Division. Electronic address: kathy.vo@ucsf.edu. 2. Department of Laboratory Medicine, University of California, San Francisco. 3. Department of Emergency Medicine, University of California, San Francisco; California Poison Control System, San Francisco Division. 4. Department of Clinical Pharmacy, University of California, San Francisco; California Poison Control System, San Francisco Division.
Abstract
STUDY 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. CONCLUSION: 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.
STUDY 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. CONCLUSION: 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.
Authors: Lynn A Farrugia; Sean H Rhyee; Sharan L Campleman; Bryan Judge; Louise Kao; Anthony Pizon; Lauren Porter; Anne M Riederer; Timothy Wiegand; Diane Calello; Paul M Wax; Jeffrey Brent Journal: J Med Toxicol Date: 2018-08-09
Authors: Alice E White; Christine Van Tubbergen; Brianna Raymes; Alexandra Elyse Contreras; Elaine J Scallan Walter Journal: Am J Public Health Date: 2020-04-16 Impact factor: 11.561