Evidence map›Paper›PMID 25548903›Full record

ArticleThe American journal of case reports2014

Spice/K2 synthetic marijuana-induced toxic hepatitis treated with N-acetylcysteine.

Israr A Sheikh, Miha Lukšič, Richard Ferstenberg, Joan A Culpepper-Morgan

Abstract readCase Reports
In one paragraph

Article in The American journal of case reports, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Synthetic Pot: Not Your Grandfather's Marijuana.Trends in pharmacological sciences · 2017
    Review
  13. NPS: Medical Consequences Associated with Their Intake.Current topics in behavioral neurosciences · 2017
    Review
  14. Article
  15. Article
  16. Protective Role of Grape Seed Proanthocyanidins Against Ccl4 Induced Acute Liver Injury in Mice.Medical science monitor : international medical journal of experimental and clinical research · 2016
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Israr A SheikhDivision of Gastroenterology, Department of Medicine, Columbia University, Harlem Hospital Center, New York, USA.
Miha LukšičFaculty of Chemistry and Chemical Technology, University of Ljubljana, Ljubljana, Slovenia.
Richard FerstenbergDivision of Gastroenterology, Department of Medicine, Columbia University, Harlem Hospital Center, New York, USA.
Joan A Culpepper-MorganDivision of Gastroenterology, Department of Medicine, Columbia University, Harlem Hospital Center, New York, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSpice/K2 is one of several street names for synthetic marijuana. These hallucinogens are increasingly sold over the internet and in "head" shops. They are usually household herbs that are sprayed with chemicals that become centrally active compounds when burned together and inhaled by smoking. CASE REPORT: We present a case of a 45-year-old male substance abuser who was admitted with evidence of hepatocellular necrosis and worsening liver failure. Tests for acetaminophen were negative, as were tests for alcohol. The patient was empirically treated with N-acetylcysteine. Hepatocellular damage was abated and the patient made a full recovery. Upon regaining consciousness, the patient admitted to smoking Spice/K2. Other toxicities have been reported with synthetic marijuana use, but not liver toxicity.

conclusionsPhysicians need to have a high index of suspicion for unknown hepatotoxins in substance abusers. N-acetylcysteine can be given if there is no contraindication.

Indexed as

AcetylcysteineAntiviral AgentsCannabinoidsChemical and Drug Induced Liver InjuryHumansIllicit DrugsMaleMiddle AgedSpicesAcetylcysteineAntiviral AgentsCannabinoidsIllicit Drugs

Identifiers

PMID25548903
PMCPMC4282190

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.