Unilateral pulmonary oedema and "Mandrax" poisoning

A case of unilateral pulmonary oedema following "Mandrax" overdose is presented. The pulmonary oedema is believed to result from hypoxia and increased pulmonary vascular permeability. A multi-factorial pathophysiology including patient posture, may have been responsible for the unusual unilateral distribution of the oedema. This report should serve to increase awareness of this interesting clinical entity.