Intoxications accidentelles au cannabis chez les enfants de moins de 6 ans diagnostiquées au CHU de Grenoble de 2005 à 2015 : état des lieux, fréquence, conséquences administratives et prévention pour 20 cas

Abstract : Introduction: Since 1970, case reports of accidental cannabis poisoning in children have been published in literature. Accidental cannabis poisoning may be severe, lead to a hospitalization in pediatric intensive care unit. Objectives: The main objective of our study is to describe the frequency of cannabis poisoning. The secondary objectives are to describe the symptoms, the diagnostic tests and the treatments; after hospitalization, child protection considerations are discussed. Methods: it is a retrospective and descriptive study about accidental cannabis poisoning in children under 6 years, in Grenoble hospital, from January 1, 2005 till December 31, 2015. Results: 20 children, 11 girls and 9 boys, under 6 years age, came to hospital. Each year, from 2005 to 2015, the frequency of cannabis poisoning increased. The average age was 20 months. The children had neurologic, respiratory, cardiac, ophthalmologic symptoms. If the cannabis poisoning was unknown, blood test was carried on in 15 cases, a lumbar puncture in 4 cases and a brain scan in 6 cases. Intravenous antibiotics or antivirus were given in 4 cases. The cannabis urine test was positive for only 19 children. All the children remained in hospital during an average of 27 hours (6-138 hours). After hospitalization, only 12 cases were reported to social services. Conclusion: If a child suffers from disorder of consciousness, the diagnosis of cannabis poisoning should be considered, especially if another etiology is not likely. A sensible, cost-effective, quick toxicology urine test can confirm the cannabis poisoning.
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Master Thesis
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Submitted on : Monday, October 17, 2016 - 3:52:31 PM
Last modification on : Wednesday, February 27, 2019 - 10:58:02 PM

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Delphine Segura. Intoxications accidentelles au cannabis chez les enfants de moins de 6 ans diagnostiquées au CHU de Grenoble de 2005 à 2015 : état des lieux, fréquence, conséquences administratives et prévention pour 20 cas. Médecine humaine et pathologie. 2016. ⟨dumas-01382806⟩

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