title: [Accidental cannabis poisoning in children: report of four cases in a tertiary care center from southern Spain].
abstract: BACKGROUND
  Cannabis is the most frequently consumed illicit substance in Spain. Pediatric accidental cannabis poisoning is an uncommon but life-threatening intoxication.
  
  
  OBJECTIVE
  To describe clinical findings, diagnosis and management of children with accidental cannabis poisoning in a tertiary care pediatric hospital. We report four patients with accidental cannabis poisoning. Clinical presentation included reduced level of consciousness, drowsiness, ataxia, tremble, apnea, hypotonia, and seizures. Tetrahydrocannabinol (THC) was detected by urine screening for cannabinoids and other toxic substances in all cases. The four patients were treated with supportive care. All cases recovered uneventfully and were discharged within 24 hours of admission.
  
  
  CONCLUSIONS
  The possibility of cannabis poisoning should be considered in cases of unexplained acute onset of neurological findings in previously healthy children.
authors.affiliation: Unidad de Gestión Clínica de Cuidados Críticos y Urgencias, Hospital Virgen del Rocío, Sevilla, España. lourinho_man@hotmail.com
authors.forename: Borja
authors.initials: B
authors.lastname: Croche Santander
authors.forename: María Teresa
authors.initials: MT
authors.lastname: Alonso Salas
authors.forename: Mercedes
authors.initials: M
authors.lastname: Loscertales Abril
mesh_terms: D002188:Cannabis / Q000506:poisoning*; D002675:Child, Preschool; D005260:Female; D006268:Health Facilities; D006801:Humans; D007223:Infant; D008297:Male; D011041:Poisoning / Q000175:diagnosis / Q000628:therapy; D013030:Spain