Jellybean-Induced Intoxication: A Case Series of Unintentional Synthetic Cannabinoid Exposure in Children and Adults

Am J Forensic Med Pathol. 2023 Dec 1;44(4):358-361. doi: 10.1097/PAF.0000000000000858. Epub 2023 Jul 8.

Abstract

Synthetic cannabinoids are illegal substances designed to mimic the effects of natural cannabinoids, typically smoked, although liquid formulations have emerged recently. This report highlights a series of cases ranging from a 2-year-old child to an adult who presented with symptoms of intoxication after consuming jellybeans containing liquefied synthetic cannabinoids. A 2-year-old child exhibited mental status changes, somnolence, tachycardia, dilated pupils, and flushed skin, and the 8- and 11-year-old children presented with anxiety, abdominal pain, vomiting, and nausea. The adult patient was more complicated, as his symptoms were consistent with acute coronary syndrome, but his angiography showed normal coronary arteries. It is important for forensic medical professionals and emergency physicians to be aware of the possibility of unintentional atypical exposure to synthetic cannabinoids and to handle suspected cases with care as part of their medical approach. These substances can have a range of effects on the body, and their use can lead to serious health consequences and even mortality.

MeSH terms

  • Adult
  • Anxiety / chemically induced
  • Cannabinoids* / adverse effects
  • Child
  • Child, Preschool
  • Humans
  • Mental Disorders*
  • Nausea / chemically induced
  • Vomiting / chemically induced

Substances

  • Cannabinoids