An unusual case of accidental poisoning: fatal methadone inhalation.

Abstract:

:In this report, the authors present a case of unusual, accidental methadone intoxication in a 40-year-old man, who had inhaled methadone powder. The drug dealer was a pharmacy technician; methadone had been stolen from a pharmacy and sold as cocaine. After having inhaled methadone powder, he suffered cardiopulmonary arrest. He was admitted to hospital where he died after 24 h of intensive care. The autopsy revealed congestion of internal organs and cerebral and pulmonary edema. Microscopically, the heart showed no changes. The toxicological analyses performed on blood and urine taken at the hospital revealed methadone, cannabinoids, and ethanol. The blood methadone concentration was 290 μg/L. The urine methadone concentration was 160 μg/L. Midazolam and lidocaine, which were administered to the patient at the hospital, were also detected in the blood. The cause of death was determined to be methadone intoxication. The literature has been reviewed and discussed. To date, and to our knowledge, only very few cases of accidental death resulting from methadone inhalation have been described up to the case presented herein.

journal_name

J Forensic Sci

authors

Palmiere C,Brunel C,Sporkert F,Augsburger M

doi

10.1111/j.1556-4029.2011.01730.x

subject

Has Abstract

pub_date

2011-07-01 00:00:00

pages

1072-5

issue

4

eissn

0022-1198

issn

1556-4029

journal_volume

56

pub_type

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