The patient count in a deadly outbreak traced to edibles continues to increase with 145 patients having developed symptoms since the previous update this past week. The Food and Drug Administration continues investigating Diamond Shruumz brand chocolate bars, gummies, and cones. The outbreak has spread across 29 states, with 59 hospitalized patients.

Two people have died. All Diamond Shruumz products have been recalled, but the FDA has received reports that some stores are still selling them. The producer of the edibles, Prophet Premium Blends LLC, initially refused to issue a recall but eventually relented.

On Aug. 20, the FDA published a list of store names and locations known to sell Diamond Shruumz-brand products. Consumers who see the products available in stores or online should contact the FDA .

Patients have reported a variety of symptoms, including respiratory failure, seizures, central nervous system depression (loss of consciousness, confusion, sleepiness), agitation, abnormal heart rates, hyper/hypotension, nausea, and vomiting. The FDA has found several chemicals in the edibles that can cause serious symptoms and sometimes death. “Muscimol does not appear in all products and cannot explain all the symptoms reported by ill patients who consumed the Diamond Shruumz brand chocolate bars.

” In addition to muscimol, FDA analyses of Diamond Shruumz brand chocolate bar samples identified the presence of the following compounds: Acetylpsilocin (also known as 4-acetoxy.