A CASE OF PERSISTENT HYPOGLYCEMIA AFTER RECREATIONAL KRATOM INGESTION

Author: 
Jocelyn Zee., Sasha Dib., David Gregorioand Eva Vosta

Kratom (Mitragyna speciosa) is an indigenous tree of Southeast Asia, the Philippines, and New
Guinea often used by local populations for its psychoactive effects. The leaves are dried and either
chewed, brewed into a tea, or smoked. Kratom is used as a stimulant,1 for religious ceremonies, and
as an opiate substitute in Malaysia.2 There have been 660 Kratom ingestions reported to poison
control centers from 2010 to 2015.3 In this case, we describe a presentation of symptomatic, persistent
hypoglycemia after kratom ingestion. Kratom leaves contain a range of chemically active alkaloids
and itsingestion has been linked to multiple organ system effects. The authors have not found any
specific case reports linking kratom use to hypoglycemia.

Page: 
1147-1149
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