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Fatal Intoxication with Methoxetamine

Piotr Adamowicz, Dariusz Zuba

Journal of Forensic Sciences January 1, 2015 DOI: 10.1111/1556-4029.12594 (opens in new tab)

Summary

AI-generated from the abstract

A 29-year-old man died from an unintentional overdose of methoxetamine (MXE), a synthetic drug related to ketamine. Analysis of his urine showed 85 μg/mL of MXE. Although the blood sample vial broke during transport, the blood concentration was estimated at 5.8 μg/mL by measuring the drug absorbed into the cardboard packaging. The high levels of MXE in both blood and urine, along with the circumstances, point to fatal intoxication.

Study at a glance

Characteristics Case study Case report Peer reviewed
Sample size 1
Population 29-year-old male
Key finding A 29-year-old male died from unintentional fatal intoxication with methoxetamine, with a urine concentration of 85 μg/mL and an estimated blood concentration of 5.8 μg/mL.

Abstract

AbstractMethoxetamine (MXE) is a new synthetic drug of abuse structurally related to ketamine and phencyclidine. A case of a 29‐year‐old male with acute toxicity related to the analytically confirmed use of MXE is reported. The man was found dead at his residence. Biological material was analyzed using liquid chromatography–tandem mass spectrometry. The concentration of MXE in urine of the deceased was 85 μg/mL. Despite the vial containing the blood sample being destroyed during transportation and the blood leaking out into the cardboard packaging, the blood level of MXE was estimated. After determination of the cardboard grammage (approx. 400 g/m3) and the mean mass of the blood obtained after drying (0.1785 ± 0.0173 g per 1 mL), the estimated blood concentration of MXE was found to be 5.8 μg/mL. The high concentration of MXE in blood and urine and the circumstances of the case indicate an unintentional, fatal intoxication with this substance.

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