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J Emerg Med. 2011 Sep;41(3):e69-71. doi: 10.1016/j.jemermed.2010.05.032. Epub 2010 Jul 15.

Prolonged coma in a child due to hashish ingestion with quantitation of THC metabolites in urine.

Author information

1
Department of Emergency Medicine, Division of Medical Toxicology, University of California San Diego, San Diego, California, USA.

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.

PMID:
20634020
DOI:
10.1016/j.jemermed.2010.05.032
[Indexed for MEDLINE]

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