From the University of Rochester School of Medicine and Dentistry, Rochester, NY.
Department of Pediatrics.
Pediatr Emerg Care. 2020 Jun;36(6):e349-e354. doi: 10.1097/PEC.0000000000001420.
Marijuana is the most commonly used illicit drug. In young children, there are relatively few reports in the literature of acute marijuana intoxication. Here, we describe the case of a previously healthy 2-year-old girl who presented with clinical seizures. A urine toxicology screen showed elevated levels of tetrahydrocannabinol. The source of the drug was not identified. After a short stay in the hospital, the patient fully recovered with only supportive measures. In this report, we also summarize all domestic and international cases of marijuana intoxication in children younger than 6 years, in conjunction with the number of exposures in children of similar age identified by the US National Poison Data System. This report highlights what is becoming a more common problem. As cannabis continues to be decriminalized across the United States with its increasingly diverse modes of delivery, the potential for accidental exposure in infants and young children also rises. Clinicians should now routinely consider marijuana intoxication in children who present with acute neurological abnormalities.
大麻是最常用的非法药物。在幼儿中，文献中相对较少有急性大麻中毒的报告。在这里，我们描述了一例以前健康的 2 岁女孩，她出现了临床癫痫发作。尿液毒物筛查显示四氢大麻酚水平升高。药物来源未确定。在医院短暂停留后，患者仅通过支持措施就完全康复。在本报告中，我们还总结了所有国内和国际 6 岁以下儿童大麻中毒的病例，以及美国国家毒物数据系统确定的类似年龄儿童的暴露数量。本报告强调了这一日益普遍的问题。随着大麻在美国各地继续合法化，其越来越多样化的使用方式，婴儿和幼儿意外接触的可能性也随之增加。临床医生现在应该在出现急性神经异常的儿童中常规考虑大麻中毒。
