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Home > Crack-ing the case: a patient with persistent delirium due to body packing with cocaine.

Ní Chróinín, D and Gaine, S (2012) Crack-ing the case: a patient with persistent delirium due to body packing with cocaine. Irish Medical Journal , 105 , (4) , pp. 118-119.

URL: http://archive.imj.ie//ViewArticleDetails.aspx?Art...

A 36-year-old male presented acutely with encephalopathy, following his return to Ireland from a visit to West Africa. Clinical findings included confusion, agitation and tonic-clonic seizures. Difficulties in weaning sedation prompted repeat urine toxicology screening at day 8, which was positive for cocaine. Work-up for a source of continued cocaine exposure led to the discovery of cocaine-containing packages in the gastrointestinal tract. An index of suspicion should be maintained in patients presenting with drug toxicity following cross-border travel.


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