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A 14-year-old whose household mentioned he had eaten a chip made with two of the most popular peppers on the planet died of cardiopulmonary arrest, in line with a medical expert’s report launched on Thursday, which famous that he had eaten a spicy substance and had an enlarged coronary heart.

The report discovered that {the teenager}, Harris Wolobah of Worcester, Mass., died on Sept. 1 of “cardiopulmonary arrest within the setting of current ingestion of meals substance with excessive capsaicin focus in an individual with cardiomegaly and myocardial bridging of the left anterior descending coronary artery.”

Capsaicin is the chemical compound present in chili peppers that causes a burning sensation. Cardiomegaly is usually often called an enlarged coronary heart. And myocardial bridging refers to a coronary artery that passes by a band of coronary heart muscle as a substitute of mendacity on high of it.

The Massachusetts Workplace of the Chief Medical Examiner mentioned the way of dying “couldn’t be decided.” Examples of the way of dying in different circumstances embody “pure,” “accident” and “murder.”

Lois Wolobah, Harris’s mom, declined to touch upon the report on Thursday. She has mentioned beforehand that she believed that the one Paqui model tortilla chip that her son ate hours earlier than he died jeopardized his well being.

The chip, dusted with two highly regarded peppers, the Carolina Reaper and the Naga Viper, had a label on the field that learn, “One Chip Problem” and carried a warning — “Inside: One Extraordinarily Sizzling Chip.” It got here in a coffin-shaped field that bore a picture of a cranium with a snake coiled round it.

Advertising and marketing supplies for the chip dared prospects to attend so long as doable after consuming the chip earlier than consuming or ingesting something, after which to publish their reactions on social media.

In an interview in September, Ms. Wolobah mentioned that her son’s college had known as to report that he was sick and that she ought to decide him up. When she arrived, Harris was clutching his abdomen within the nurse’s workplace, she mentioned.

Ms. Wolobah mentioned she took her son dwelling, however after about two hours he handed out and was rushed to a hospital, the place he died.

Dr. Juliana Gomez-Arostegui, a pediatric heart specialist at Rady Kids’s Hospital in San Diego, Calif., mentioned many components may have performed a task Harris’s dying.

She mentioned that myocardial bridges don’t usually trigger issues apart from in just a few unusual circumstances. She mentioned it’s also laborious to know if Harris’s coronary heart was enlarged due to makes an attempt to resuscitate him or if it was one thing he had all alongside that nobody knew about.

However consuming the spicy chip, mixed with an enlarged coronary heart and a myocardial bridge, “in concept, might be a foul combo if his coronary heart fee acquired up quick sufficient from the extreme spice and stress of it to him, inflicting ischemia (lack of oxygen to the guts muscle) that would result in a deadly tachyarrhythmia,” or ultrafast irregular coronary heart rhythm, Dr. Gomez-Arostegui wrote in an electronic mail.

Paqui chips have been made by Amplify Snack Manufacturers, a subsidiary of the Hershey Firm.

A couple of week after Harris’s dying, the corporate mentioned it was pulling the chip from retailer cabinets “out of an abundance of warning” and that it was providing refunds for the product, which was priced at about $9.99 for a single serving.

“We have been and stay deeply saddened by the dying of Harris Wolobah and prolong our condolences to his household and associates,” Paqui mentioned in an announcement on Thursday. “Paqui’s One Chip Problem was supposed for adults solely, with clear and outstanding labeling highlighting that the product was not for kids or anybody delicate to spicy meals or with underlying well being circumstances.”

After the corporate mentioned it “noticed elevated reviews of teenagers and different people not heeding these warnings,” it labored with retailers to take away the product from cabinets, and “the One Chip Problem has been discontinued.”

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