Abstract:Presented here is the first case reporting an association of chronic cannabis use with H. pylori colonization and preeclampsia in pregnancy, which brings to light the possible involvement of a cannabinoid-related pathway in the link between pregnancy-specific complications and bacterial colonization.
“…We employed the search terms 'Cannabinoid' 'Hyperemesis' and 'Pregnancy' in PubMed and Google scholar. We identi ed ve clinical cases (8)(9)(10)(11)(12) and extracted their characteristics (detailed in the appendix tables).…”
Background
Cannabis use is on the rise. Several cases of cannabinoid hyperemesis syndrome, secondary to chronic cannabis intoxication, have been described worldwide, but few cases have described this entity in pregnant women.
Case presentation
We describe a 29-year-old pregnant patient that had consumed cannabis and experienced uncontrolled vomiting. The use of hot baths, the rapid improvement in symptoms, and results of complementary examinations suggested a diagnosis of cannabinoid hyperemesis syndrome. The patient could return home and she continued her pregnancy and childbirth without peculiarities.
Conclusion
Cannabinoid hyperemesis syndrome should be considered in the differential diagnosis of vomiting in pregnancy. Consumption of cannabis must be systematically included in the anamnesis. However, it seems to be somewhat unacceptable socially or medically. Consumption must be stopped to manage symptoms.
“…We employed the search terms 'Cannabinoid' 'Hyperemesis' and 'Pregnancy' in PubMed and Google scholar. We identi ed ve clinical cases (8)(9)(10)(11)(12) and extracted their characteristics (detailed in the appendix tables).…”
Background
Cannabis use is on the rise. Several cases of cannabinoid hyperemesis syndrome, secondary to chronic cannabis intoxication, have been described worldwide, but few cases have described this entity in pregnant women.
Case presentation
We describe a 29-year-old pregnant patient that had consumed cannabis and experienced uncontrolled vomiting. The use of hot baths, the rapid improvement in symptoms, and results of complementary examinations suggested a diagnosis of cannabinoid hyperemesis syndrome. The patient could return home and she continued her pregnancy and childbirth without peculiarities.
Conclusion
Cannabinoid hyperemesis syndrome should be considered in the differential diagnosis of vomiting in pregnancy. Consumption of cannabis must be systematically included in the anamnesis. However, it seems to be somewhat unacceptable socially or medically. Consumption must be stopped to manage symptoms.
“…It remains unclear whether marijuana use alleviates nausea and vomiting, or whether marijuana use is a cause of nausea and vomiting. Some regular marijuana users develop cannabinoid hyperemesis syndrome, which is characterized by severe nausea and vomiting and compulsive hot water bathing (Allen et al, 2004; Manning Meurer et al, 2017). Cases of cannabinoid hyperemesis syndrome have recently been documented in pregnant women (Alaniz et al, 2015; Andrews and Bracero, 2015).…”
Online media content about prenatal and postpartum marijuana use presented health risks consistent with evidence, and discussed a health benefit of marijuana use for nausea and vomiting in pregnancy. Portrayal of risks and benefits was somewhat equivocal, consistent with current scientific debate.
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