Fourteen high school students in Tokyo, Japan were recently hospitalized with stomach aches, nausea, and mouth pain after sharing a bag of potato chips infused with Bhut Jolokia peppers.

On July 16, around 12:40 pm, an emergency call was made after several first-year students at Rokugo Koka High School in Tokyo’s Ota Ward started complaining of nausea, as well as stomach and mouth pain. The thirteen girls and one boy had apparently been among 33 students at the high school who had shared a bag of super-spicy potato chips infused with “Bhut Jolokia,” which was once listed in the Guinness Book of World Records as the “world’s hottest pepper.” The students ended up at the emergency room, treated for their mild symptoms, and released later that day. Jiji Press reported that some of the students collapsed in the school infirmary because of the pain. The incident is being promoted as a cautionary tale for young students considering trying such spicy snacks.

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According to a recently published medical report, a 47-year-old American man who ate a burger smothered in Ghost Pepper puree ended up with a large hole in his esophagus.

The report published in the Journal of Emergency Medicine mentions that the unnamed man ate ‘ghost peppers’, also known as Bhut jolokia, in puree form, smothered on top of a burger, part of an eating contest. Soon after finishing the scorching hot meal, he began to experience violent retching and vomiting, as well as severe abdominal and chest pain. As these symptoms kept getting worse, the man called emergency responders, who took him to the hospital, where he was diagnosed with Boerhaave syndrome, or spontaneous esophageal rupture.

An abdomen and pelvic scan revealed a build up of air, fluid and food inside the man’s body, so doctors decided to perform emergency surgery. They discovered a 2.5cm tear in the left side of his throat and had to insert a tube into the rupture to aid his breathing. The tube remained in place for two weeks, while the man’s wound healed. He ended up spending another nine days in the hospital, before being discharged with a feeding tube in place.

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