Odd behaviour in the airport arrivals lounge—what is the diagnosis?

摘要

A 43-year-old male returning from 1 week in Nigeria was noticed to be behaving in a strange manner by officials at London Heathrow airport. The patient, clearly agitated, was profusely sweating and disorientated. Customs screening procedures were carried out, including a urine test, which was positive for cocaine. He was immediately transferred to hospital for medical attention.