Case Report
Volume 9 Issue 4 - 2020
Increasing Chronic Cannabis Use and Cyclic Vomiting Syndrome Witnessed in Pediatric Population: A Case Report and Literature Review
Faiza Ahmed1*, Andre Thompson2, Kim Andrews3, Praneeth Nekuri3, Ishita Gupta4, Nikita Chellapuram5, Godsgift Enebong Nya6,8, Gertrude O Bassey7, Uzoamaka Nwokorie6 and Cicily Vachaparambil9
1Medical Student, Avalon University School of Medicine, Curacao
2Doctor of Medicine Graduate, Washington University of Health and Science, Belize
3Medical Student, John F. Kennedy University School of Medicine, Curacao
4Bachelor of Medicine and Bachelor of Surgery Graduate, Dr. Rajendra Prasad Government Medical College, India
5Medical Student, Bhaskar Medical College and Hospital, India
6Doctor of Medicine Graduate, University of Science, Arts and Technology, Montserrat
7Department of Family Medicine, Bon Secours Medical Group, USA
8John Hopkins Hospital, USA
9Internal Medicine Resident Physician, Emory University School of Medicine, USA
*Corresponding Author: Faiza Ahmed, M.D Program, Avalon University School of Medicine, Curacao.
Received: February 25, 2020; Published: March 26, 2020




Abstract

Cyclic Vomiting Syndrome (CVS) is a common disorder which is characterized by the occurrence of nausea and vomiting that typically lasts for 1 - 5 days followed by asymptomatic periods [1]. The etiology of CVS is unknown, however it has been related to various other associations such as menses (catamenial CVS), migraine headaches, diabetes mellitus, pregnancy, chronic cannabis use and many more (See table 1) [2,3]. CVS tends to affect all age groups. Many reports link cannabis, also called cannabinoid or marijuana, use to CVS as high as 40 - 50% in male population [1]. Adults are often associated with cannabinoid- induced CVS, meanwhile there are limited reports linking cannabinoid-induced CVS to the pediatric population. We came across a very young case of a 13-year old male who visited the Emergency Room 9 times over a 24-month period with severe cognitive impairment and symptoms of CVS. Each time this patient was admitted for hospitalization, diagnostic imaging, laboratory tests and toxicology screening were performed. The toxicology reported positive for cannabinoids. This is just one of many cases on the rise in United States that involves increasing use of cannabis among adolescents. Through our observation, all physicians should start considering the role of cannabis in diagnosis of CVS, particularly in adults and pediatric males.

Keywords: Cyclic Vomiting Syndrome (CVS); Nausea; Vomiting; Cannabinoid

References

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  3. George Katsaras., et al. “Cyclic Vomiting Syndrome in an Adolescent Girl. A Case Report and Review of the Literature”. EC Paediatrics 8.3 (2019): 179-185.
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Citation: Faiza Ahmed., et al. “Increasing Chronic Cannabis Use and Cyclic Vomiting Syndrome Witnessed in Pediatric Population: A Case Report and Literature Review”. EC Paediatrics 9.4 (2020): 103-107.

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