In this case report we present an unintentional oral cocaine intoxication with an uncommon, delayed presentation in an octogenarian. The patient initially presented with the feeling of malaise after drinking wine. Three hours after presentation he developed progressive neurological symptoms and a hypertensive emergency. The urine sample turned out to be positive for cocaine. We recommend to consider intoxication in any patient with unexplained neurological and cardiovascular symptoms. It is important to emphasise that the onset of toxic effects after oral ingestion of cocaine may be delayed, especially in the elderly.
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