CDC Warns of Severe Poisonings from Synthetic Diamond Shruumz™

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Case Counts
  • Total Illnesses: 130
  • Hospitalizations: 53
  • Deaths: 2 (under investigation)
  • Last illness onset: July 8, 2024
  • States with Cases: AL (4), AZ (7), CA (3), CO (1), FL (6), GA (23), IN (8), IA (3), KS (5), KY (10), MD (2), MN (3), MO (1), MT (3), NV (1), NJ (2), NY (1), NC (17), ND (3), OK (1), OR (1), PA (2), SC (7), SD (1), TN (9), TX (2), VA (1), WA (2), WI (1)
  • Product Distribution: Nationwide
  • The CDC has issued a warning about severe illnesses potentially linked to consuming Diamond Shruumz™ brand chocolate bars, cones, and gummies marketed as containing a "proprietary blend of mushroom."1 As of Aug 14, 2024, a total of 130 illnesses have been reported from 29 states. 53 have been hospitalized, and there is TWO potentially associated death under investigation. 1 (FDA REPORT)

    Symptoms

    People who became ill after eating Diamond Shruumz-brand products reported a variety of severe symptoms including seizures, central nervous system depression (loss of consciousness, confusion, sleepiness), agitation, abnormal heart rates, hyper/hypotension, nausea, and vomiting.1 Several patients required intensive care and mechanical ventilation, though no deaths occurred.1

    The actual scale of the outbreak may be larger, as poison centers have received 39 reports of illnesses potentially linked to these products, with new cases emerging daily.1 Milder cases were limited to gastrointestinal symptoms or drowsiness.1

    Diamond Shruumz claims its products are for "microdosing" but do not contain psychedelic substances.1 However, toxicology experts argue the listed mushroom ingredients like lion's mane are innocuous and do not produce the advertised potent effects.15 Undisclosed ingredients, illicit substances, or contaminants may be present.123

    The products likely fall under the dietary supplement category based on ingredients and marketing.23 Supplements do not require FDA approval before sale, though companies must test ingredients and limit contamination.23 However, quality control is "murky at best," with past cases of undisclosed harmful ingredients like poisonous plants.23

    The FDA advised discarding and avoiding all Diamond Shruumz products, and is monitoring the situation for potential further action.1235 Healthcare providers were urged to report related illnesses.3

    This outbreak highlights the risks of unregulated "natural" psychoactive products potentially containing undisclosed, harmful substances.12345 Ensuring rigorous quality control from reputable suppliers is crucial for consumer safety in the mushroom product industry.

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    The FDA and CDC Investigation UPDATE 6-28-2024

    The FDA and CDC, in collaboration with America’s Poison Centers and state and local partners, are investigating a series of illnesses associated with eating Diamond Shruumz-brand Chocolate Bars, Cones, and Gummies.

    On June 27, 2024, Prophet Premium Blends, LLC of Santa Ana, CA, initiated a recall of all flavors of Diamond Shruumz-brand Chocolate Bars, Cones, and Gummies. According to the firm, these products contain muscimol, a chemical found in some mushrooms, that could be a potential cause of symptoms consistent with some symptoms observed in individuals who became ill after consuming Diamond Shruumz-brand products. FDA is evaluating this information.

    As previously reported, FDA and state partners have collected multiple samples of Diamond Shruumz-brand products for testing and analysis. Additional sample analysis is ongoing, but as of June 25, 2024 test results for two individual chocolate bars collected from a retail store have identified the presence of the following:

    Diamond Shruumz Dark Chocolate Bar
  • 4-AcO-DMT / 4-acetoxy-N,N-dimethyltryptamine (4-acetoxy-DMT, also known as O-acetylpsilocin or psilacetin)
  • desmethoxyyangonin
  • dihydrokavain
  • kavain
  • Diamond Shruumz Birthday Cake Chocolate Bar
  • 4-AcO-DMT / 4-acetoxy-N,N-dimethyltryptamine (4-acetoxy-DMT, also known as O-acetylpsilocin or psilacetin)
  • There may be variability in test results across products with different formulations as well as potential variability across lots and batches of the same product. Additional testing for the above Diamond Shruumz-brand Chocolate Bars, along with testing for other Diamond Shruumz-brand products, is in progress. FDA and CDC medical officers are interpreting these test results to understand the health risks of ingesting these chemical substances and to determine the appropriate next steps.

    STAU UPDATED ON THIS: This FDA advisory will be updated as additional information becomes available.

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