{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,8]],"date-time":"2026-02-08T03:43:21Z","timestamp":1770522201663,"version":"3.49.0"},"reference-count":10,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2021,8,21]],"date-time":"2021-08-21T00:00:00Z","timestamp":1629504000000},"content-version":"vor","delay-in-days":51,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["associationofanaesthetists-publications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Anaesthesia Reports"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>Insect damage to, and sub\u2010optimal harvesting practices of the <jats:italic>Papaver somniferum<\/jats:italic> poppy are associated with contamination of its seeds with opium alkaloids. Consumption of poppy seeds has been linked to opium\u2010like overdose symptoms, such as reduced consciousness and respiratory depression. However, acute cardiotoxicity secondary to ingestion of contaminated poppy seeds has not been reported previously. We report a case of a 21\u2010year\u2010old man who presented with severe biventricular dysfunction and cardiogenic shock following consumption of homemade poppy seed tea. We highlight the importance of prompt recognition\u00a0of the myocardial effects of opiates along with the more common respiratory and neurological effects. In this case, the acute cardiotoxicity was fully reversed with high\u2010dose naloxone, milrinone and noradrenaline. In addition, we recommend offering high\u2010level care due to the possibility that specialist cardiac services may be required. Ergo, early transfer to an appropriate centre is recommended.<\/jats:p>","DOI":"10.1002\/anr3.12130","type":"journal-article","created":{"date-parts":[[2021,8,21]],"date-time":"2021-08-21T15:34:54Z","timestamp":1629560094000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Acute cardiotoxicity following 'poppy seed tea' consumption"],"prefix":"10.1002","volume":"9","author":[{"given":"Y. P. A.","family":"Tan","sequence":"first","affiliation":[{"name":"Department of Anaesthesia and Intensive Care Medicine Wythenshawe Hospital Manchester University NHS Foundation Trust Manchester UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P. D. G.","family":"Alexander","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care Medicine Wythenshawe Hospital Manchester University NHS Foundation Trust Manchester UK"},{"name":"Manchester Academic Critical Care Division of Infection, Immunity and Respiratory Medicine School of Biological Sciences Faculty of Biology, Medicine and Health The University of Manchester Manchester UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Knowles","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia Stepping Hill Hospital Stockport NHS Foundation Trust Stockport UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,8,21]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.2903\/j.efsa.2011.2405"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/09595230601146637"},{"key":"e_1_2_5_4_1","first-page":"607","article-title":"Severe health impairment of a 6\u2010week\u2010old infant related to the ingestion of boiled poppy seeds","volume":"46","author":"Hahn A","year":"2008","journal-title":"Clinical Toxicology"},{"key":"e_1_2_5_5_1","unstructured":"Press Association.Angela Rippon tests positive for opiates in poppy seed experiment. 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