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Claudet I, Bréhin C. Unintentional cannabis pediatric intoxications: Where do we stand?: Pediatric cannabis intoxication. Arch Pediatr 2023; 30:257-259. [PMID: 37286423 DOI: 10.1016/j.arcped.2023.05.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2023] [Revised: 04/25/2023] [Accepted: 05/21/2023] [Indexed: 06/09/2023]
Affiliation(s)
- Isabelle Claudet
- Pediatric Emergency Department, Children's Hospital, CHU Toulouse, France; UMR 1295, Inserm, Paul Sabatier University, UPS, Toulouse III, France.
| | - Camille Bréhin
- Pediatric Emergency Department, Children's Hospital, CHU Toulouse, France; UMR 1416, Inserm, IRSD, Toulouse, France
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Cheng JYK, Hui JWS, Chan WS, So MH, Hong YH, Leung WT, Ku KW, Yeung HS, Lo KM, Fung KM, Ip CY, Dao KL, Cheung BKK. Interpol review of toxicology 2019-2022. Forensic Sci Int Synerg 2022; 6:100303. [PMID: 36597440 PMCID: PMC9799715 DOI: 10.1016/j.fsisyn.2022.100303] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Affiliation(s)
| | | | | | | | | | | | | | | | | | | | | | | | - Bobbie Kwok-keung Cheung
- Corresponding author. Government Laboratory, 7/F, Homantin Government Offices, 88 Chung Hau Street, Ho Man Tin, Kowloon, SAR, Hong Kong, China. http://www.govtlab.gov.hk/
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Carvalho VM, de Almeida FG, de Macêdo Vieira AC, Rocha ED, Cabral LM, Strongin RM. Chemical profiling of Cannabis varieties cultivated for medical purposes in southeastern Brazil. Forensic Sci Int 2022; 335:111309. [DOI: 10.1016/j.forsciint.2022.111309] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2021] [Revised: 03/27/2022] [Accepted: 04/09/2022] [Indexed: 11/04/2022]
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Mehamha H, Doudka N, Minodier P, Néant N, Lacarelle B, Solas C, Fabresse N. Unintentional cannabis poisoning in toddlers: A one year study in Marseille. Forensic Sci Int 2021; 325:110858. [PMID: 34091410 DOI: 10.1016/j.forsciint.2021.110858] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2021] [Revised: 05/27/2021] [Accepted: 05/28/2021] [Indexed: 11/18/2022]
Abstract
France is the country with the highest prevalence of cannabis use in Europe, despite the fact that cannabis has not been legalized. This prevalence is still increasing along with THC content in cannabis products. In the meantime, unintentional cannabis poisoning by ingestion in toddlers is constantly rising. The aim of this study was to document children's cannabis poisoning biologically and clinically. Plasma and urine samples were extracted by solid phase extraction and analyzed by liquid chromatography coupled to tandem mass spectrometry. Children under 4 years old admitted in pediatric emergency departments for cannabis intoxication between February 1st 2019 and January 31st 2020 were included in this study. Twenty-six children were included (14 female and 12 male), the mean age was 17 months (10-41 months). THC, 11-OH-THC and THC-COOH plasma concentrations ranged from 2.9 to 93 ng/mL, 2.6-65 ng/mL and 29-914 ng/mL, respectively. The most frequent symptoms were drowsiness and hypotonia. Six critical cases were observed: 5 coma and 1 respiratory depression. All children having THC plasma concentrations over 60 ng/mL were in coma. Cannabis poisoning in toddlers become more frequent, 9 cases/year were reported in Marseille in 2007 and 26 cases/year in this study. There is a rising in severe clinical cases, particularly coma. These observations could be explained by an increase in THC content in cannabis products, and a trivialization of cannabis consumption. The unintentional ingestion of cannabis by children is a serious public health concern, and cannabis legalization could worsen this problem.
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Affiliation(s)
- Hilel Mehamha
- Laboratory of Pharmacokinetics and Toxicology, La Timone University Hospital, 264 rue Saint Pierre, 13385 Marseille Cedex 5, France
| | - Natalia Doudka
- Department of Clinical Pharmacology and Pharmacovigilance, La Timone University Hospital, 264 rue Saint Pierre, 13385 Marseille Cedex 5, France; Aix Marseille University, Institut de neurosciences des systèmes, Inserm UMR 1106, Marseille 13385, France
| | - Philippe Minodier
- Pediatric Department, North University Hospital, Chemin des Bourrely, 13015 Marseille, France
| | - Nadège Néant
- Laboratory of Pharmacokinetics and Toxicology, La Timone University Hospital, 264 rue Saint Pierre, 13385 Marseille Cedex 5, France
| | - Bruno Lacarelle
- Laboratory of Pharmacokinetics and Toxicology, La Timone University Hospital, 264 rue Saint Pierre, 13385 Marseille Cedex 5, France
| | - Caroline Solas
- Laboratory of Pharmacokinetics and Toxicology, La Timone University Hospital, 264 rue Saint Pierre, 13385 Marseille Cedex 5, France; Aix-Marseille University, Emerging Viruses Unit (UVE) IRD 190, INSERM 1207, Marseille 13385, France
| | - Nicolas Fabresse
- Laboratory of Pharmacokinetics and Toxicology, La Timone University Hospital, 264 rue Saint Pierre, 13385 Marseille Cedex 5, France; Aix Marseille University, INSERM, IRD, SESSTIM, Economic and Social Sciences of Health and Medical Information Processing, Marseille, France.
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