{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:13:25Z","timestamp":1753877605856,"version":"3.41.2"},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2024,6,9]],"date-time":"2024-06-09T00:00:00Z","timestamp":1717891200000},"content-version":"vor","delay-in-days":8,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,6,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>The increasing prevalence of cannabis worldwide requires awareness of a potential, less recognized, paradoxical entity, the cannabinoid hyperemesis syndrome (CHS). This includes cyclic episodes of nausea, vomiting, and compulsive hot water bathing for alleviation in individuals with chronic cannabis use. An 18-year-old male with daily and prolonged cannabis use has excessive nausea and vomiting, is diagnosed with CHS, and is further complicated by severe and rapidly fluctuating hypophosphatemia. He was successfully managed with intravenous (IV) antiemetic (metoclopramide) and IV normal saline in the emergency department. Hypophosphatemia was treated with IV phosphorous. Although hypophosphatemia in CHS is a rare encounter, the authors share their experience to promote broader recognition and insight into successful management.<\/jats:p>","DOI":"10.1093\/omcr\/omae055","type":"journal-article","created":{"date-parts":[[2024,6,9]],"date-time":"2024-06-09T14:04:55Z","timestamp":1717941895000},"source":"Crossref","is-referenced-by-count":0,"title":["Severe and rapidly changing hypophosphatemia in cannabinoid hyperemesis syndrome: a case report"],"prefix":"10.1093","volume":"2024","author":[{"given":"Prakash","family":"Acharya","sequence":"first","affiliation":[{"name":"Greater Baltimore Medical Center Department of Internal Medicine, , Baltimore, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5695-0860","authenticated-orcid":false,"given":"Aakash","family":"Mishra","sequence":"additional","affiliation":[{"name":"Kathmandu Medical College Teaching Hospital , Kathmandu, Bagmati Province, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7891-0333","authenticated-orcid":false,"given":"Sandip","family":"Kuikel","sequence":"additional","affiliation":[{"name":"Tribhuvan University Institute of Medicine Maharajgunj Medical Campus, , Kathmandu, Bagmati Province, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3711-4725","authenticated-orcid":false,"given":"Aman","family":"Mishra","sequence":"additional","affiliation":[{"name":"Tribhuvan University Institute of Medicine Maharajgunj Medical Campus, , Kathmandu, Bagmati Province, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robin","family":"Rauniyar","sequence":"additional","affiliation":[{"name":"Tribhuvan University Institute of Medicine Maharajgunj Medical Campus, , Kathmandu, Bagmati Province, 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