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Brief Report
JAMA. 1975;233(4):351-354. doi: 10.1001/jama.1975.03260040045023

The Toxicity of Intravenously Used Marihuana

  1. LTC Ronald J. Payne, MC;
  2. MAJ Stanley N. Brand, MC
  1. USA; USA
  2. From the Gastroenterology Service, US Army Hospital, Fort Carson, Colo (LTC Payne), and the Womack Army Hospital, Fort Bragg, NC (MAJ Brand).

Abstract

While no unanimity of opinion exists regarding the risk to physical health from smoking marihuana, we have seen four cases that demonstrate clearly that intravenous usage is hazardous. The severity of the multisystemic involvement is dose-related. On initial examination, signs of most severe overdosage included fulminant gastroenteritis, hypoalbuminemia, toxic hepatitis confirmed by serial biopsy, acute renal failure, electrolyte disturbances, leukocytosis, anemia, and a relative thrombocytopenia. In three patients who shared a common needle, gingivostomatitis also developed.

(JAMA 233:351-354, 1975)

Footnotes

  • Reprint requests to Gastroenterology Service, US Army Medical Department Activity, Fort Carson, CO 80913 (LTC Payne).

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