Background Spice/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 @entity39 and @entity1578 . Tests for @entity1443 were negative, as were tests for @entity167 . The @entity1 was empirically treated with @entity898 . @entity16 was abated and the @entity1 made a full recovery. Upon regaining consciousness, the @entity1 admitted to smoking Spice/K2. Other @entity137 have been reported with synthetic marijuana use, but not liver @entity137 . Conclusions Physicians need to have a high index of suspicion for unknown hepatotoxins in substance abusers. @entity898 can be given if there is no contraindication.

SPICE/K2 Synthetic Marijuana-Induced Toxic Hepatitis Treated with XXXX .

@entity1 :: ('9606', 'Species') :: ['patient'] @entity137 :: ('MESH:D064420', 'Disease') :: ['toxicity', 'toxicities'] @entity39 :: ('MESH:D009336', 'Disease') :: ['hepatocellular necrosis'] @entity167 :: ('CHEBI:16236', 'Chemical') :: ['alcohol'] @entity16 :: ('MESH:D009422', 'Disease') :: ['Hepatocellular damage'] @entity898 :: ('MESH:D000111', 'Chemical') :: ['N-acetylcysteine'] @entity1578 :: ('MESH:D017093', 'Disease') :: ['worsening liver failure'] @entity1443 :: ('MESH:D000082', 'Chemical') :: ['acetaminophen']
@entity898 :: (MESH:D000111,Chemical) :: ['N-Acetylcysteine']
