Three Toddlers Hospitalized in ICU Following Cannabis Exposure

Three children, aged one to three, were treated at the French Hospital in Nazareth after ingesting cannabis-infused products. Doctors warn: "Significant decrease in consciousness, respiratory depression, and even respiratory arrest, heart rate and blood pressure disturbances, and seizures may occur."

MakoAuthor: Yonatan Dushnitsky
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Three Toddlers Hospitalized in ICU Following Cannabis Exposure
Photo: Mako / צילום: שאטרסטוק, מדא

In recent weeks, three toddlers aged one to three were admitted to the pediatric emergency room of the French Hospital in Nazareth following cannabis exposure. In two cases, the children ingested hashish, while in the third, there was a suspicion of consuming chocolate or cookies containing active cannabis ingredients. In one instance, family members initially believed the toddler had suffered a head injury after he became unusually sleepy, but a preliminary urine test in the emergency room indicated cannabis exposure. The diagnosis was later confirmed by laboratory analysis, while brain imaging ruled out intracranial trauma. The toddlers were initially hospitalized in the pediatric intensive care unit before being transferred to the pediatric ward. Their condition improved, and they were discharged home; in all three cases, reports were filed with the police as per protocol.

Dr. Bashara Mansour, director of the pediatric department and pediatric nephrology service, notes a sharp rise in cannabis poisoning among young children due to the accidental ingestion of edible cannabis products. Gummy candies, sweets, and baked goods containing THC often look and taste like regular snacks, making them particularly attractive to children.

According to Dr. Mansour, the most common manifestation of cannabis poisoning in children is central nervous system depression. A child may appear highly lethargic or apathetic and may suffer from ataxia (instability when walking), decreased muscle tone, and constricted pupils. The severity of the poisoning is largely dependent on the amount of active substance ingested relative to the child's weight. Due to their small size, even a dose that seems minor to an adult can be significant for a toddler. In severe cases, this can lead to a significant drop in consciousness, respiratory depression or arrest, heart rate and blood pressure disturbances, seizures, and unresponsiveness, sometimes requiring mechanical ventilation.

Diagnosing cannabis poisoning is not always straightforward, as symptoms can mimic hypoglycemia, central nervous system infections, or metabolic disorders. Dr. Mansour emphasizes that when the cause of altered consciousness is unclear, physicians must consider the possibility of toxic exposure. Rapid urine tests have a sensitivity of 80% to 95%, meaning any positive result must be confirmed by more accurate laboratory testing.

There is currently no specific antidote for cannabis poisoning, so treatment is primarily supportive, involving constant monitoring of consciousness and vital signs, airway support, and seizure management. The most critical message, according to the doctor, is prevention: cannabis products must be stored in their original packaging, in a locked area, and completely out of the reach and sight of children. In any case of suspected ingestion, medical evaluation should be sought without delay.

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