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Delirium Following Ingestion of Marijuana Present in Chocolate Cookies

Published online by Cambridge University Press:  07 November 2014

Charles André ,
Jorge A. Jaber-Filho ,
Rafael M.A. Bento ,
Lúcia M.P. Damasceno  and
Francisco R. Aquino-Neto
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Abstract

Objective: To describe a case of marijuanainduced 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-Δ9-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-Δ9-tetrahydrocannabinol-9-carboxylic acid in

Conclusion: Severe delirium can follow oral ingestion of cannabis integrated into homemade cookies.

Type
Original Research
Information
CNS Spectrums , Volume 11 , Issue 4 , April 2006 , pp. 262 - 264
Copyright
Copyright © Cambridge University Press 2006

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