Nojima Tsuyoshi, Naito Hiromichi, Kosaki Yoshinori, Osako Takaaki, Tanaka Kimiaki, Murata Atsuo, Nakao Atsunori
Emergency Department, Critical Care and Disaster Medicine, Okayama University Graduate School of Medicine Dentistry and Pharmaceutical Sciences, Okayama, Japan.
Department of Emergency Medicine, Kochi Health Science Center, Kochi, Japan.
Arch Acad Emerg Med. 2019 Nov 16;7(1):e67. eCollection 2019.
Although fatalities due to caffeine intoxication are uncommon, a caffeine overdose may cause profound toxicity, resulting in tachycardia, arrhythmia, convulsions, vomiting, coma, and possibly death. In particular, high caffeine consumption while pregnant can cause increased fetal catecholamine levels, which could lead to increased fetal heart rate and placental vasoconstriction and impair fetal oxygenation. Therefore, caffeine intoxication in pregnant women should be treated immediately. Herein, we present a 33-year-old pregnant woman who was treated in our department after ingesting 4000mg of caffeine in an attempt to commit suicide. We successfully treated our patient, and she delivered a healthy baby at 38 weeks.