A fatal case by a suicide kit containing sodium nitrite ordered on the internet.


Journal

Journal of forensic and legal medicine
ISSN: 1878-7487
Titre abrégé: J Forensic Leg Med
Pays: England
ID NLM: 101300022

Informations de publication

Date de publication:
Jul 2020
Historique:
received: 21 02 2020
revised: 21 05 2020
accepted: 24 05 2020
entrez: 14 7 2020
pubmed: 14 7 2020
medline: 11 2 2021
Statut: ppublish

Résumé

Fatal sodium nitrite poisonings are rare in the forensic context. The present work describes a first fatal case of sodium nitrite contained in a suicide kit that the victim acquired over the internet. The results of the autopsy showed general signs of asphyxia, such as intense cyanosis of the extremities, brown-gray-blue-red livor mortis, and some Tardieu petechiae in addition to intense visceral congestion. It is clear that forensic experts must be aware of the proliferation of this market and the risks of improper selling of these substances through suicide support networks available on the internet. The lack of knowledge of this reality may become unidentifiable, when toxicological analysis contemplates only the most classical and frequent substances involved in poisoning and reinforce the importance of a careful analysis of the death scene.

Identifiants

pubmed: 32658747
pii: S1752-928X(20)30096-2
doi: 10.1016/j.jflm.2020.101989
pii:
doi:

Substances chimiques

Food Preservatives 0
Nitrites 0
Citalopram 0DHU5B8D6V
desmethylcitalopram 3KBX9104IR
Sodium Nitrite M0KG633D4F
Trazodone YBK48BXK30

Types de publication

Case Reports

Langues

eng

Sous-ensembles de citation

IM

Pagination

101989

Informations de copyright

Copyright © 2020 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of competing interest The authors have no conflicts of interest to declare. No writing assistance was obtained in the production of this manuscript.

Auteurs

Carlos Durão (C)

Portuguese National Institute of Legal Medicine and Forensic Sciences, Lisbon, Portugal; Hospital Vila Franca de Xira, Vila Franca de Xira, Portugal.

Frederico Pedrosa (F)

Portuguese National Institute of Legal Medicine and Forensic Sciences, Lisbon, Portugal.

Ricardo Jorge Dinis-Oliveira (RJ)

IINFACTS - Institute of Research and Advanced Training in Health Sciences and Technologies, Department of Sciences, University Institute of Health Sciences (IUCS), CESPU, CRL, Gandra, Portugal; Department of Public Health and Forensic Sciences, Medical Education, Faculty of Medicine, University of Porto, Porto, Portugal; UCIBIO-REQUIMTE, Laboratory of Toxicology, Department of Biological Sciences, Faculty of Pharmacy, University of Porto, Porto, Portugal. Electronic address: ricardinis@sapo.pt.

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Classifications MeSH