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Prolonged coma in a child due to hashish ingestion with quantitation of THC metabolites in urine.
J Emerg Med 2011; 41(3):e69-71JE

Abstract

BACKGROUND

Cannabinoid-containing substances are commonly abused worldwide. Significant toxicity from these substances is uncommon in adults but can result in significant symptoms in children; these symptoms are usually short-lived.

OBJECTIVES

To report a case of prolonged mental status alteration of more than 2 days in a child who ingested hashish.

CASE REPORT

A 14-month-old child presented comatose to a pediatric emergency department after ingestion of hashish; she did not regain consciousness for more than 48 h. Quantitative testing of the child's urine for a tetrahydrocannabinol metabolite revealed a markedly elevated level, the decline of which coincided with the child's clinical improvement.

CONCLUSIONS

Significant ingestion of cannabinoid-containing substances is capable of causing prolonged symptoms (including coma) in children.

Authors+Show Affiliations

Department of Emergency Medicine, Division of Medical Toxicology, University of California San Diego, San Diego, California, USA.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

20634020

Citation

Carstairs, Shaun D., et al. "Prolonged Coma in a Child Due to Hashish Ingestion With Quantitation of THC Metabolites in Urine." The Journal of Emergency Medicine, vol. 41, no. 3, 2011, pp. e69-71.
Carstairs SD, Fujinaka MK, Keeney GE, et al. Prolonged coma in a child due to hashish ingestion with quantitation of THC metabolites in urine. J Emerg Med. 2011;41(3):e69-71.
Carstairs, S. D., Fujinaka, M. K., Keeney, G. E., & Ly, B. T. (2011). Prolonged coma in a child due to hashish ingestion with quantitation of THC metabolites in urine. The Journal of Emergency Medicine, 41(3), pp. e69-71. doi:10.1016/j.jemermed.2010.05.032.
Carstairs SD, et al. Prolonged Coma in a Child Due to Hashish Ingestion With Quantitation of THC Metabolites in Urine. J Emerg Med. 2011;41(3):e69-71. PubMed PMID: 20634020.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prolonged coma in a child due to hashish ingestion with quantitation of THC metabolites in urine. AU - Carstairs,Shaun D, AU - Fujinaka,Michael K, AU - Keeney,Grant E, AU - Ly,Binh T, Y1 - 2010/07/15/ PY - 2010/01/25/received PY - 2010/04/17/revised PY - 2010/05/18/accepted PY - 2010/7/17/entrez PY - 2010/7/17/pubmed PY - 2011/12/15/medline SP - e69 EP - 71 JF - The Journal of emergency medicine JO - J Emerg Med VL - 41 IS - 3 N2 - BACKGROUND: Cannabinoid-containing substances are commonly abused worldwide. Significant toxicity from these substances is uncommon in adults but can result in significant symptoms in children; these symptoms are usually short-lived. OBJECTIVES: To report a case of prolonged mental status alteration of more than 2 days in a child who ingested hashish. CASE REPORT: A 14-month-old child presented comatose to a pediatric emergency department after ingestion of hashish; she did not regain consciousness for more than 48 h. Quantitative testing of the child's urine for a tetrahydrocannabinol metabolite revealed a markedly elevated level, the decline of which coincided with the child's clinical improvement. CONCLUSIONS: Significant ingestion of cannabinoid-containing substances is capable of causing prolonged symptoms (including coma) in children. SN - 0736-4679 UR - https://www.unboundmedicine.com/medline/citation/20634020/abstract/Prolonged_coma_in_a_child_d L2 - https://linkinghub.elsevier.com/retrieve/pii/S0736-4679(10)00406-3 DB - PRIME DP - Unbound Medicine ER -