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Diamond Shruumz-brand chocolate bars, gummies and cones were sold online and in shops nationwide, labeled as containing proprietary blends of mushroom extracts and "adaptogens." In June 2024, four young people in Yavapai County, Arizona, ate the chocolate and ended up in emergency departments with seizures. By October 31, CDC had identified 180 cases and three potentially associated deaths in 34 states.

The first four patients

WhoWhat happened
June 1A woman and a man, both 20–29, who shared a cookies-and-cream bar — eight pieces and sevenShe lost consciousness and control of bladder and bowel, and he took her to the emergency department, where both had generalized seizures and received benzodiazepines. She stabilized 10 hours later and was discharged. He stayed unresponsive, was intubated and admitted to intensive care, regained consciousness after 8 hours and went home after 2 days
June 2Two adolescent girls who ate a dark-chocolate bar — 15 pieces eachWithin 2 hours: reduced consciousness, slowed breathing and vomiting; both had seizures (one in the ambulance). In the emergency department: racing heart, high blood pressure and intermittent muscle rigidity lasting 12 hours after eating. Both were intubated, stabilized 24 hours after eating and went home the next morning

From one county to a national recall

Date (2024)Step
June 3Arizona's poison control centers tell the state health department, warn the public and ask clinicians to report cases
June 7FDA tells consumers not to eat, sell or serve the products
June 12CDC alerts clinicians through the Health Alert Network
June 19Arizona issues a consumer alert
June 27Prophet Premium Blends recalls all Diamond Shruumz products nationwide and stops making and distributing them

Two more patients who needed medical care were reported to Arizona's poison centers — one of them treated two months before the investigation began — and the state used syndromic surveillance to find cases never reported to poison control. CDC's National Center for Environmental Health wrote a case definition and used the National Poison Data System to find cases across the country, alongside FDA, state and local health departments and poison centers.

What it shows

Products like these — marketed as containing mushroom-based psychoactive ingredients, and sometimes containing psychoactive substances not on the label — are increasingly available, and can cause life-threatening illness. People should stop eating Diamond Shruumz products and be cautious with any other product marketed that way. The authors also credit the long partnership between Arizona's health department and its poison control centers, which both raised the alarm fast and advised the treating doctors.

Sources

Based on Walker HL, Roland M, Dudley S, et al., "Notes from the Field: Severe Health Outcomes Linked to Consumption of Mushroom-Based Psychoactive Microdosing Products — Arizona, June–October 2024," MMWR Morbidity and Mortality Weekly Report volume 74, number 1, Centers for Disease Control and Prevention; a work of the United States government in the public domain. The imported copy was cut short; the missing text is from the report's full text in PubMed Central (PMC11709130).

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Лицензия: CC0 1.0 (общественное достояние) · По материалам www.cdc.gov

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