Titre : | Delirium following ingestion of marijuana present in chocolate cookies |
Auteurs : | C. ANDRE ; JABER-FILHO J. A. ; R. M. BENTO ; DAMASCENO L. M. ; F. R. AQUINO-NETO |
Type de document : | Périodique |
Année de publication : | 2006 |
Format : | 262-264 |
Note générale : |
CNS Spectrums, 2006, 11, (4), 262-264 |
Langues: | Français |
Discipline : | PRO (Produits, mode d'action, méthode de dépistage / Substances, action mode, screening methods) |
Mots-clés : |
Thésaurus mots-clés CANNABIS ; CONFUSION MENTALE ; URINE ; DEPISTAGE ; ETUDE DE CAS ; INTOXICATIONThésaurus géographique BRESIL |
Résumé : |
ENGLISH : OBJECTIVE: To describe a case of marijuana-induced delirium and the techniques used to detect psychoactive agents and metabolites in urine. METHODS: A case of delirium following involuntary ingestion of cannabis is described. A urine sample was analyzed applying various chemical procedures, using high-resolution gas chromatography coupled with mass spectrometry technique. 11-Nor-delta9-tetrahydrocannabinol-9-carboxylic acid was quantified by the methodology for steroids and cannabis. RESULTS: A 26-year-old man was hospitalized with severe agitation and psychotic behavior 36 hours after suspected involuntary ingestion of cannabis contained in a brigadeiro, a typical Brazilian cookie, consumed during a party. Treatment with neuroleptics resulted in complete regression of the symptoms over 2 weeks. The urine sample revealed marijuana ingestion, demonstrated by the presence of its metabolite, 11-nor-delta9-tetrahydrocannabinol-9-carboxylic acid in high concentration. No other investigated substance was found in the patient's urine. CONCLUSION: Severe delirium can follow oral ingestion of cannabis integrated into homemade cookies. |
Domaine : | Drogues illicites / Illicit drugs |
Refs biblio. : | 12 |
Affiliation : |
Department of Internal Medicine, Federal University of Rio de Janeiro, Rio de Janeiro. Email : andrecmd@unisys.com.br Brésil. Brazil. |
Centre Emetteur : | 13 OFDT |
Cote : | A02866 |
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