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.
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_due_to_hashish_ingestion_with_quantitation_of_THC_metabolites_in_urine_
L2 - https://linkinghub.elsevier.com/retrieve/pii/S0736-4679(10)00406-3
DB - PRIME
DP - Unbound Medicine
ER -