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Case Reports
. 2017 Mar 16;1(3):166-170.
doi: 10.5811/cpcem.2017.1.33240. eCollection 2017 Aug.

Pediatric Death Due to Myocarditis After Exposure to Cannabis

Thomas M Nappe  1 , Christopher O Hoyte  1   2
Affiliations
Case Reports

Pediatric Death Due to Myocarditis After Exposure to Cannabis

Thomas M Nappe et al. Clin Pract Cases Emerg Med. .

Abstract

Since marijuana legalization, pediatric exposures to cannabis have increased.1 To date, pediatric deaths from cannabis exposure have not been reported. The authors report an 11-month-old male who, following cannabis exposure, presented with central nervous system depression after seizure, and progressed to cardiac arrest and died. Myocarditis was diagnosed post-mortem and cannabis exposure was confirmed. Given the temporal relationship of these two rare occurrences - cannabis exposure and sudden death secondary to myocarditis in an 11-month-old - as well as histological consistency with drug-induced myocarditis without confirmed alternate causes, and prior reported cases of cannabis-associated myocarditis, a possible relationship exists between cannabis exposure in this child and myocarditis leading to death. In areas where marijuana is commercially available or decriminalized, the authors urge clinicians to preventively counsel parents and to include cannabis exposure in the differential diagnosis of patients presenting with myocarditis.

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Conflict of interest statement

Conflicts of Interest: By the CPC-EM article submission agreement, all authors are required to disclose all affiliations, funding sources and financial or management relationships that could be perceived as potential sources of bias. The authors disclosed none.

Figures

Image 1
Image 1
Initial electrocardiogram demonstrating wide-complex tachycardia.
Image 2
Image 2
Post-intubation chest radiograph. Measurement indicates distance of endotracheal tube tip above carina.
Image 3
Image 3
Repeat electrocardiogram showing disorganized rhythm, peri-arrest.
See this image and copyright information in PMC

References

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