{"pk":6562,"title":"Neurogenic Pulmonary Edema Associated with Hyponatremia, Primary Polydipsia, and Cannabis Use: A Case Report","subtitle":null,"abstract":"<p><strong>Introduction:</strong> Neurogenic pulmonary edema is a rare and potentially life-threatening condition that can present as severe pulmonary edema after significant neurologic insults. This is the first documented instance that shows a plausible causal link between cannabis consumption, psychogenic polydipsia, and the subsequent development of neurogenic pulmonary edema associated with status epilepticus secondary to acute hyponatremia.</p>\n<p><strong>Case Report:</strong> We report a case of a 34-year-old female who presented to the emergency department altered and postictal after a witnessed new-onset seizure. She developed significant respiratory distress that required intubation. Her sodium was 121 millimoles per liter (mmol/L), from 137 mmol/L 36 hours prior on routine outpatient labs. Further history revealed excessive water ingestion after eating a cannabis edible prior to the seizure.</p>\n<p><strong>Conclusion:</strong> This case highlights the importance of recognizing neurogenic pulmonary edema in connection with psychogenic polydipsia, severe hyponatremia, and status epilepticus subsequent to cannabis consumption.</p>","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Neurogenic pulmonary edema"},{"word":"hyponatremia"},{"word":"primary polydipsia"},{"word":"cannabis intoxication"},{"word":"case report"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/165329d0","frozenauthors":[{"first_name":"Christian","middle_name":"","last_name":"Treat","name_suffix":"","institution":"Stony Brook University, Department of Emergency Medicine, Stony Brook, New York","department":""},{"first_name":"Nicholas","middle_name":"","last_name":"Ulloa","name_suffix":"","institution":"Stony Brook University, Department of Emergency Medicine, Stony Brook, New York","department":""},{"first_name":"Alyssa","middle_name":"","last_name":"Kettler","name_suffix":"","institution":"Stony Brook University, Department of Emergency Medicine, Stony Brook, New York","department":""},{"first_name":"David","middle_name":"","last_name":"Lawrence","name_suffix":"","institution":"Stony Brook University, Department of Emergency Medicine, Stony Brook, New York","department":"Emergency Medicine"}],"date_submitted":"2023-11-13T20:13:00.996000Z","date_accepted":"2024-02-27T23:04:47.124000Z","date_published":"2024-06-03T13:00:00Z","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/6562/galley/10899/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/6562/galley/10808/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/6562/galley/10899/download/"}]}