Researchers say teen’s thermal epiglottitis was cannabis-induced

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A case report involving a 17-year-old with what investigators believe is cannabis-induced thermal epiglottitis makes clear that completing a thorough patient history, physical examination and drug screening is criticially important. Mayo Clinic explains that epiglottitis is a potentially life-threatening condition that occurs when the small cartilage “lid” covering the windpipe swells, thereby blocking air flow into the lungs. Among the situations that can lead to the swelling are infections and being burned by something hot, like hot liquids. “Clinicians must consider thermal injury of the epiglottitis due to substance use, specifically marijuana in vaccinated adolescent patients presenting with positive substance use history, progressive dysphagia, odynophagia and drooling with a muffled voice,” notes the study abstract published this week in the American Journal of Emergency Medicine . She couldn’t make her body stop itching for 10 years. So researchers experimented with cannabis A two-year-old boy shows signs of early puberty after using weed oil to treat severe epilepsy New case report sheds light on cannabinoid hyperemesis syndrome and the need to avoid diagnosis delays Upon arriving at a hospital emergency department, the previously healthy, vaccinated teen presented with a muffled voice, fever, drooling, difficulty swallowing, painful swallowing, rapid breathing and leukocytosis , often defined as an elevated white blood cell count. Testing showed the teen had signifcant swelling of the epiglottitis, the larynx and throat had significant redness, swelling and secretions and his urine was positive for benzodiazepine, opiates and cannabinoids. Based on those findings, plus his negative bacterial cultures, the teen was diagnosed with thermal-induced epiglottitis secondary to cannabinoid use. “The clinical and radiographic findings are similar in epiglottitis due to infectious and non-infectious etiologies,” study authors write. As such, beyond completing a patient history, physical exam and drug screening, “prompt management with intubation should occur to protect and maintain…

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Source : Researchers say teen’s thermal epiglottitis was cannabis-induced

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