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Official websites use. Share sensitive information only on official, secure websites. We report a confirmed case of cannabis exposure in an Omani female child with developmental delay. Cannabis exposure in children can lead to many consequences; for example, chronic use can result in developmental delay, abnormal behaviour, and hyperactivity while there is a risk of coma with acute exposure. C annabis is the most widely used illicit drug in many developed societies. It is estimated in the USA that the population incidence rates of marijuana use from late childhood to adolescence increase from 1. A sharp increase is noted during ages 13—15 years. Absolute numbers from indicate that people were addicted to cannabis hashish and, in , 19 people died of drug abuse. According to botanical classification, cannabis comes from family of Cannabaceae and species of stiva , indica and ruleralis. Substance abuse includes the abuse of legal drugs as well as the use of illegal drugs. Members of the medical community need to understand these risks, and be aware of the consequences on children in the care of adult abusers. The misuse of drug substances by children may have far-reaching consequences, and may impact family unit functions. Many substance abusers are polysubstance users leading to a compounded negative effect which may be difficult to measure. Often, other interrelated social factors, such as untreated mental illness, alcoholism, trauma history and domestic violence also affect these families. The patient presented with drowsiness, abnormal eye movements, was lethargic and had been unable to sit or stand for the previous 4 hours. The history was reluctantly provided, so the physician on call documented the unconfirmed information given by the parents, noting that it was somewhat inconsistent in nature. The father made little eye contact with medical personnel, and seemed uncomfortable. His verbal and non-verbal expressions and cues to his wife indicated that she was not to offer any information. Apparently, the patient had ingested an unknown blackish substance mixed with sand, followed by vomiting, further lethargy and drowsiness, with nystagmus. The parents sought medical assistance approximately 4 hours after the onset of symptoms. However, there had been a delay in gross motor skill and language development noted to have begun at approximately 2 years of age. The parents indicated that the patient was a hyperactive child who occasionally ate her own hair. A gastric lavage was performed, producing gastric aspirate mixed with food particles. During this procedure, the child vomited a blackish sticky substance, with subsequent clinical improvement over the ensuing hours. The samples were sent for analysis, and she was hydrated intravenously. Investigations revealed microcytic hypochromic anaemia while all other investigations were normal. The patient rested through the night, and continued to improve. An incident report indicating suspected child abuse was filed. Children exposed to maternal addiction have increased rates of cognitive, socio-emotional, and behavioural problems. A prospective investigation showed that there is a significant association between substance use disorder in parents and cannabis use disorder and behavioural disinhibition in their sons. These characteristics should be considered when investigating offspring exposed to cannabis in utero as they may be important in mother-child interaction and child development. Pregnant and parenting women, regardless of race or ethnicity, benefit from prevention efforts focusing on cessation rather than temporary abstinence from substance use. This patient demonstrated speech delays and hyperactivity, which were also found in one case report in which a Californian teacher of a 7 year-old boy, who had been exposed prenatal to cannabis, noted that he demonstrated frequent fidgety behaviour, hyperactivity, and trouble focusing on learning tasks. A receptive and expressive language disorder had previously been diagnosed at 4 years of age, and been followed by speech therapy and a social skills language group programme. These findings suggest that young people represent a highly vulnerable cannabis consumer group, carrying a higher risk than adult consumers of suffering adverse consequences from cannabinoid exposure. There are four independent factors in early or middle childhood that predict early initiation of use of substances and subsequent substance use disorders by early adulthood: 1 Disrupted families or drug-using parents 2 Problem behaviours; 3 Poor parental monitoring, and 4 Poor parental supervision. High levels of cannabis abuse are related to poorer educational outcomes, lower income, greater welfare dependence and unemployment, and lower relationship and life satisfaction. It is important for clinicians to consider substance abuse as a differential diagnosis for presentations similar to this case in other paediatric patients. The authors gratefully acknowledge the great support and motivation to publish this case of the following physicians: Dr. Hashim Javad and Dr. As a library, NLM provides access to scientific literature. Sultan Qaboos Univ Med J. Find articles by Thuraya A Al-Shidhani. Find articles by Vinita Arora. Similar articles. Add to Collections. Create a new collection. Add to an existing collection. Choose a collection Unable to load your collection due to an error Please try again. Add Cancel.

Cannabis Exposure in an Omani Child

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