A Case Of Opium Intoxication Mimicking Nephrotic Syndrome

A 4-year old male infant was presented with a-two-day history of cough and the swelling of his face and feet followed by abdominal enlargement and difficulty in breathing. The admission diagnosis was nephrotic syndrome according to the initial findings but laboratory findings did not support this diagnosis. The patient's clinical course worsened owing to pulmonary edema which was treated with furosemide. The research towards the aetiology of edema could not come to a conclusion. Afterwards the patient's mother declared she had boiled poppy plant and make him to drink its juice to cause sleep. It is concluded that pulmonary edema caused by increased pulmonary permeability was due to acute crude opium intoxication in the current case. The patient was recovered completely with close observation and supportive treatment in three days without any sequaele.