Drug facilitated sexual assault with lethal outcome: GHB intoxication in a six-year-old girl.

Abstract:

:A very serious case of DFSA (drug facilitated sexual assault) is presented, in which a six-year-old girl died following sedation with γ-hydroxybutyric acid (GHB). She had been sexually abused by a relative. Samples of cardiac blood, bile, vitreous humour, liver, kidney, brain tissues and hair were analysed by a LC-MS/MS method. The following GHB concentrations were determined: cardiac blood: 150 mg/l; bile: 292mg/l; vitreous humour: 58mg/l; liver: 100 mg/kg; kidney: 124.5 mg/kg, brain: 110 mg/kg. Very high GHB levels were found in the proximal part of the hair sample (about 40.9 ng/mg). In distal segments of hair - up to 12 cm distant from the hair scalp - GHB concentrations were higher than the overall found endogenous range of 2-3 ng/mg. Police investigations revealed that the uncle had also administered GHB to the older half-sister. Therefore, a sample of her hair was analysed accordingly, but unremarkable results were obtained. Comparing our toxicological results with police investigations and the offender's statements it can be assumed that the 6-year-old girl had ingested GHB. By exclusion of other causes of death a lethal intoxication with GHB could be confirmed.

journal_name

Forensic Sci Int

authors

Mehling LM,Johansen SS,Wang X,Doberentz E,Madea B,Hess C

doi

10.1016/j.forsciint.2015.12.044

subject

Has Abstract

pub_date

2016-02-01 00:00:00

pages

e25-31

eissn

0379-0738

issn

1872-6283

pii

S0379-0738(16)00002-5

journal_volume

259

pub_type

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