Pediatric "body packing"
by
Traub SJ, Kohn GL, Hoffman RS, Nelson LS.
Department of Emergency Medicine,
Beth Israel Deaconess Medical Center,
One Deaconess Road, Boston, MA 02215, USA.
straub@caregroup.harvard.edu
Arch Pediatr Adolesc Med. 2003 Feb;157(2):174-7.


ABSTRACT

BACKGROUND: Recent events in the United States have led to increased security at national borders, resulting in an unexpected increase in drug seizures. In response, drug smugglers may begin using children as couriers, including using them as "body packers." OBJECTIVE: To look at the occurrence of body packing, the concealing of contraband within the human body, which is well documented in adults, in the pediatric literature. PATIENT REPORTS: Two cases of pediatric body packing, in boys aged 16 years and 12 years. Patient 1, a 16-year-old boy, presented with findings consistent with opioid intoxication after arriving in the United States on a transcontinental flight. His mental status improved after he received naloxone hydrochloride, and he subsequently confessed to body packing heroin. He was treated with a naloxone infusion and aggressive gastrointestinal decontamination. He ultimately passed 53 packets of heroin, one of which had ruptured. He recovered uneventfully. Patient 2, a 12-year-old boy, presented to the emergency department with rectal bleeding. He had recently arrived in the United States from Europe, and he confessed to body packing heroin. He was treated with whole-bowel irrigation and activated charcoal, and he subsequently passed 84 packets. He also recovered uneventfully. CONCLUSIONS: We report the first 2 cases of body packing in the pediatric literature and review the diagnosis and management of this clinical entity. Pediatricians should be aware that body packing, regrettably, is not confined to the adult population.
Speedballs
Heroin/OCD
Dutch heroin
Self-medication
Heroin in Vienna
Monkeys on heroin
Intravenous heroin
Heroin and nitric oxide
The extended amygdala
The prescription for heroin
Heroin, GABAA and the NAcc
Baclofen, dopamine and heroin
Methadone, morphine and heroin
Dosage, route of administration and withdrawal


Refs
and further reading

HOME
HedWeb
Nootropics
Cocaine.org
Future Opioids
BLTC Research
MDMA/Ecstasy
Superhapiness?
Utopian Surgery?
The Abolitionist Project
The Hedonistic Imperative
The Reproductive Revolution
Critique of Huxley's Brave New World

The Good Drug Guide
The Good Drug Guide

The Responsible Parent's Guide
To Healthy Mood Boosters For All The Family