Libiseller Kathrin, Pavlic Marion, Grubwieser Petra, Rabl Walter
Institute of Legal Medicine, Innsbruck Medical University, Muellerstrasse 44, 6020, Innsbruck, Austria.
Int J Legal Med. 2007 Jan;121(1):40-3. doi: 10.1007/s00414-005-0039-9. Epub 2005 Sep 21.
Most cases of ecstasy overdose turn out to be accidental, whereas suicide attempts with designer drugs occur only sporadically. We report an announced suicide by means of a combination of 3,4-methylenedioxymethamphetamine (MDMA) and 3,4-methylenedioxyethylamphetamine (MDEA). During autopsy, sampling for toxicological investigation (peripheral blood, urine, cerebrospinal fluid, bile and gastric contents) occurred. Serum concentrations as high as 13.33 mg/l for MDMA, 7.32 mg/l for MDEA and 0.43 mg/l for 3,4-methylenedioxyamphetamine were found. Ecstasy tablets, which were confiscated by the police a few days earlier, showed also a combination of MDMA and MDEA. This fact suggests that the ingested tablets probably came from the same source as the seized pills.
大多数摇头丸过量服用案例都是意外,而使用合成毒品的自杀企图只是偶尔发生。我们报告一例通过3,4-亚甲基二氧甲基苯丙胺(摇头丸)和3,4-亚甲基二氧乙基苯丙胺(亚甲基双氧安非他明)联合使用的公开自杀事件。尸检时,采集了用于毒理学调查的样本(外周血、尿液、脑脊液、胆汁和胃内容物)。发现血清中摇头丸浓度高达13.33毫克/升,亚甲基双氧安非他明浓度为7.32毫克/升,3,4-亚甲基二氧苯丙胺浓度为0.43毫克/升。警方几天前没收的摇头丸片剂也显示含有摇头丸和亚甲基双氧安非他明。这一事实表明,摄入的片剂可能与查获的药丸来自同一来源。