Abstract
A 25-years-old -male was found unconscious with empty fentanyl ampule; slow breathing with central cyanosis; SaO2 85% on air; blood pressure 90/50 mmHg, pulse rate 100/minutes; respiratory rate 12/minutes; central cyanosis; crackles in both lungs; multiple venipuncture marks in his left forearm and pinpoint pupil. He was treated as fentanyl overdose with intravenous naloxone, fluid therapy, ventilatory support and oxygenation. Right hemiparesis was noted on recovery; CT scan head showed multiple areas of infarction in basal ganglia and cerebral hemisphere. Acute kidney injury recovered with hemodialysis.
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