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  • J Emerg Med · Sep 2011

    Case Reports

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

    • Shaun D Carstairs, Michael K Fujinaka, Grant E Keeney, and Binh T Ly.
    • Department of Emergency Medicine, Division of Medical Toxicology, University of California San Diego, San Diego, California, USA.
    • J Emerg Med. 2011 Sep 1;41(3):e69-71.

    BackgroundCannabinoid-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.ObjectivesTo report a case of prolonged mental status alteration of more than 2 days in a child who ingested hashish.Case ReportA 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.ConclusionsSignificant ingestion of cannabinoid-containing substances is capable of causing prolonged symptoms (including coma) in children.Copyright © 2011 Elsevier Inc. All rights reserved.

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