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Figures

Fig. 1

Anteroposterior chest radiographic findings on arrival (A) and recovery (B). A, Typical acute respiratory distress syndrome. There are large dense shadows distributed on 2 lungs, radiated from hila to sides. B, Disappearance of radiographic infiltrates.

Tramadol is a synthetic, centrally acting analgesic for the treatment of moderate to severe pain. It is widely used because of its efficacy and safety. A normal-dose tramadol has less adverse effects than other opioids. Multiply organ dysfunction syndrome due to tramadol intoxication is rare. We present a case of 19-year-old male patient who had multiply organ dysfunction syndrome due to oral tramadol alone. With a history of tramadol abuse for 6 months, the patient was found unconsciousness in bed 8 hours before hospitalization.

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