Disseminated Intravascular Coagulopathy Secondary to Unintentional Brodifacoum Poisoning via Synthetic Marijuana

Abstract

Recent evidence demonstrates a rising epidemic of unintentional brodifacoum poisoning associated with synthetic cannabinoid use. Synthetic cannabinoid use is on the rise because of its inexpensiveness as well as difficulty to screen and regulate. We present a rare case of severe coagulopathy and cardiac arrest secondary to synthetic cannabinoid use complicated by brodifacoum toxicity.

Toxicology of Psychoactive Substances

“…In severe intoxication, the patient can show severe agitation, panic attacks, tremor, seizures, and tachycardia. Cannabinoids adulterated with brodifacoum may present with signs and symptoms of coagulopathy 92 . The diagnosis of intoxication is usually made using urine drug screens for cannabis but synthetic cannabinoids are not detected 93 .…”