Department of Forensic Medicine, Erciyes University Faculty of Medicine, Turkey.
Hum Exp Toxicol. 2009 Aug;28(8):521-4. doi: 10.1177/0960327109348082. Epub 2009 Sep 7.
We present the first ever case of homicidal poisoning due to injection of methidathion, an organophosphate insecticide.
A 4-month-old baby presented to the emergency department with chief complaints of unconsciousness and irregular respiration. A bitter odour and an injection site with a greenish blue colouration and two bullaous lesions were noticed by the emergency department physicians. Postmortem examinations revealed a wide shiny blue colouration of the antecubital region with oedematous muscular fascia and focal liquefaction necrosis. Blood and tissue levels were positive for methidathion. Our case report emphasizes the necessity of a detailed crime scene investigation and postmortem examination for the possibility of homicide in such cases. Although injection sites may be the expected results of medical treatment, dermal lesions also may be associated with injections of toxic substances.
我们首次报告了一起因注射甲基毒死蜱（一种有机磷杀虫剂）导致的故意中毒杀人案件。
一名 4 个月大的婴儿因昏迷和呼吸不规则而到急诊就诊。急诊医生注意到婴儿身上有一股刺鼻的气味，注射部位呈现出蓝绿色，并伴有两处大疱性皮损。尸检显示，肘前区呈现广泛的光亮蓝色，水肿性肌筋膜和局灶性液化性坏死。血液和组织中的甲基毒死蜱检测结果呈阳性。本病例报告强调了在这种情况下，详细的犯罪现场调查和尸检对于确认杀人案件的必要性。虽然注射部位可能是医疗治疗的预期结果，但皮肤损伤也可能与有毒物质的注射有关。
