Nishimura Hiroyuki, Furumiya Junichi, Nakanishi Akinori, Hashimoto Yoshiaki
Department of Legal Medicine, Kochi Medical School, Kochi University, Kohasu, Oko-cho, Nankoku City, Kochi 783-8505, Japan.
Leg Med (Tokyo). 2009 Apr;11 Suppl 1:S565-7. doi: 10.1016/j.legalmed.2009.01.009. Epub 2009 Mar 19.
We reported previously that blood levels of nicotine in suicidal smokers tend to be significantly higher than those in non-suicidal smokers, and blood level of nicotine seems to be a useful criterion for discriminating suicide from other types of death. In this paper, we report nicotine and cotinine levels in various tissues of an adipocere body found in the sea. The cause of death was drowning, and the postmortem time interval was approximately 5 months at autopsy. His driver's license was concealed in his sock, which seemed to suggest that he committed to suicide. In toxicological analysis by gas chromatography, nicotine and cotinine in the femoral muscle were detected at concentrations of 213 and 488 ng/g, respectively, and these substances were also detected in the brain, liver and kidney. For evaluating the tissue levels of nicotine and cotinine in the adipocere body, we analyzed these levels in blood and various tissues of 13 autopsy cases of smokers. Nicotine and cotinine levels in blood were the most similar to those in skeletal muscle. Although the postmortem time interval, the formation process of adipocere and the environmental condition in water may affect nicotine and cotinine levels in the femoral muscle, the high muscle level of nicotine in the present case seem to implicate suicidal death.
我们之前报道过,有自杀倾向的吸烟者血液中的尼古丁水平往往显著高于无自杀倾向的吸烟者,而且尼古丁血液水平似乎是区分自杀与其他类型死亡的一个有用标准。在本文中,我们报告了在海中发现的一具尸蜡尸体的各种组织中的尼古丁和可替宁水平。死因是溺水,尸检时的死后时间间隔约为5个月。他的驾照藏在袜子里,这似乎表明他是自杀。在气相色谱法进行的毒理学分析中,股肌中的尼古丁和可替宁浓度分别检测到213和488纳克/克,这些物质在脑、肝和肾中也被检测到。为了评估尸蜡尸体中尼古丁和可替宁的组织水平,我们分析了13例吸烟尸检病例的血液和各种组织中的这些水平。血液中的尼古丁和可替宁水平与骨骼肌中的最为相似。尽管死后时间间隔、尸蜡的形成过程以及水中的环境条件可能会影响股肌中的尼古丁和可替宁水平,但本病例中股肌中尼古丁的高含量似乎意味着是自杀死亡。