RESUMO
We present here a fatal case of heatstroke, involving olanzapine and levomepromazine medications. A male in his sixties was found dead in his storage room in the middle of August, with a high rectal temperature. Autopsy revealed congestion of the lungs without any specific findings. Quantitative toxicological analysis demonstrated concentrations of olanzapine, levomepromazine, 7-aminonitrazepam, and 7-aminoflunitrazepam in a femoral blood sample of 0.433 µg/mL, 0.177 µg/mL, 0.604 µg/mL, and 0.041 µg/mL, respectively. The concentration of olanzapine exceeded toxic levels; however, levomepromazine level was within the therapeutic range. Due to the blocking mechanism of both olanzapine and levomepromazine against muscarinic receptors, they might depress sweating and impair heat dissipation. Based on autopsy findings, results of toxicological examination, and investigation by the authorities, we concluded that the cause of death was heatstroke under the influence of olanzapine and levomepromazine.
Assuntos
Golpe de Calor/mortalidade , Metotrimeprazina/sangue , Olanzapina/sangue , Psicotrópicos/sangue , Autopsia , Evolução Fatal , Golpe de Calor/etiologia , Humanos , Masculino , Metotrimeprazina/efeitos adversos , Pessoa de Meia-Idade , Olanzapina/efeitos adversos , Psicotrópicos/efeitos adversosRESUMO
We present an autopsy case involving ingestion of methidathion, an organothiophosphate pesticide. A headspace gas chromatography mass spectrometry system was used for screening of volatile compounds. Subsequent toxicological analysis was performed using liquid chromatography tandem mass spectrometry. Xylene and ethylbenzene were detected in stomach contents. We also identified methidathion at concentrations of 3.07 and 2240 µg/ml in femoral venous blood and stomach contents, respectively. We concluded that the victim ingested methidathion insecticide, with an estimated dose of at least 9.2 g.
Assuntos
Inseticidas , Compostos Organotiofosforados , Autopsia , Cromatografia Gasosa-Espectrometria de Massas , Humanos , Compostos Organotiofosforados/intoxicaçãoRESUMO
A fatal case of abuse of solvent containing mixture of toluene and methanol is presented. Concentrations of toluene, methanol and formic acid in a femoral venous blood sample were 20.1 mg/L, 210 mg/L and 25.2 mg/L, respectively. From the autopsy findings and toxicological examination, we concluded that the cause of death was poisoning by toluene and methanol.
