Extreme metabolic alkalosis in a patient with recurrent vomiting due to cannabinoid hyperemesis syndrome

Authors

  • Enrique Chicote-Álvarez Servicio de Medicina Intensiva, Hospital San Pedro, Logroño (La Rioja), España
  • Isabel Mainar-Gil Servicio de Medicina Intensiva, Hospital San Pedro, Logroño (La Rioja), España
  • Elisa Monfort-Lázaro Servicio de Medicina Intensiva, Hospital San Pedro, Logroño (La Rioja), España

DOI:

https://doi.org/10.32818/reccmi.a6n3a2

Keywords:

metabolic alkalosis, hyperemesis, hyponatremia, cannabis.

Abstract

The Cannabinoid Hyperemesis Syndrome was described at the beginning of the xxi century. It can cause severe laboratory abnormalities, such as extreme metabolic alkalosis, associated with significant morbidity and mortality, requiring close monitoring and appropriate treatment to avoid serious complications. We report a 34-year-old male admitted to intensive care due to extreme metabolic alkalosis and severe diselectrolythemia in the context of Cannabinoid Hyperemesis Syndrome.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

Kaplan LJ, Frangos S. Clinical review: Acid-base abnormalities in the intensive care unit - part II. Crit Care. 2005; 9(2): 198-203. doi: https://doi.org/10.1186/cc2912.

Tripathy S. Extreme metabolic alkalosis in intensive care. Indian J Crit Care Med. 2009; 13(4): 217-20. doi: https://doi.org/10.4103/0972-5229.60175.

Allen JH, de Moore GM, Heddle R, Twartz JC. Cannabinoid hyperemesis: cyclical hyperemesis in association with chronic cannabis abuse. Gut. 2004; 53(11): 1566-70. doi: https://doi.org/10.1136/gut.2003.036350.

Rimmer JM, Gennari FJ. Metabolic Alkalosis. J intensive Care Med. 1987; 2(3): 137-150. doi: https://doi.org/10.1177/088506668700200304.

Galli JA, Sawaya RA, Friedenberg FK. Cannabinoid hyperemesis syndrome. Curr Drug Abuse Rev. 2011 Dec;4(4):241-9. doi: https://doi.org/10.2174/1874473711104040241.

Van Sickle MD, Oland LD, Ho W, Hillard CJ, Mackie K, Davison JS, et al. Cannabinoids inhibit emesis through CB1 receptors in the brainstem of the ferret. Gastroenterology. 2001; 121(4): 767-74. doi: https://doi.org/10.1053/gast.2001.28466.

Esfandyari T, Camilleri M, Busciglio I, Burton D, Baxter K, Zinsmeister AR. Effects of a cannabinoid receptor agonist on colonic motor and sensory functions in humans: a randomized, placebo-controlled study. Am J Physiol Gastrointest Liver Physiol. 2007; 293(1): G137-45. doi: https://doi.org/10.1152/ajpgi.00565.2006.

McCallum RW, Soykan I, Sridhar KR, Ricci DA, Lange RC, Plankey MW. Delta-9-tetrahydrocannabinol delays the gastric emptying of solid food in humans: a double-blind, randomized study. Aliment Pharmacol Ther. 1999; 13(1): 77-80. doi: https://doi.org/10.1046/j.1365-2036.1999.00441.x.

Published

2021-12-31

How to Cite

1.
Chicote-Álvarez E, Mainar-Gil I, Monfort-Lázaro E. Extreme metabolic alkalosis in a patient with recurrent vomiting due to cannabinoid hyperemesis syndrome. Rev Esp Casos Clin Med Intern [Internet]. 2021 Dec. 31 [cited 2024 Jul. 3];6(3):3-5. Available from: https://www.reccmi.com/RECCMI/article/view/638

Most read articles by the same author(s)