Prolonged coma in a child due to hashish ingestion with quantitation of THC metabolites in urine.
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. To report a case of prolonged mental status alteration of more than 2 days in a child who ingested hashish. 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 childs urine for a tetrahydrocannabinol metabolite revealed a markedly elevated level, the decline of which coincided with the childs clinical improvement. Significant ingestion of cannabinoid-containing substances is capable of causing prolonged symptoms (including coma) in children.