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Fatal Intoxications with 25B-NBOMe and 25I-NBOMe in Indiana During 2014.

Kevin G Shanks, Thomas J. Sozio, George S Behonick

Journal of Analytical Toxicology October 1, 2015 DOI: 10.1093/jat/bkv058 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Case series Case report Peer reviewed
Sample size 2
Population Two teenage male subjects who died in Indiana in 2014
Key findings Two deaths were attributed to NBOMe substances: 25B-NBOMe was detected in postmortem heart blood at 1.59 ng/mL in one case, and 25I-NBOMe at 19.8 ng/mL in the other. The authors review published cases confirming these substances as causative agents in intoxications and deaths.

Abstract

Over the last few years, NBOMe substances have been used either as a legal alternative to lysergic acid diethylamide (LSD) or sold surreptitiously as LSD to unknown users. These NBOMe substances have been detected in blotter papers, powders, capsules and liquids. We report the deaths of two teenage male subjects that were related to 25B-NBOMe and 25I-NBOMe in Indiana during 2014. Samples were extracted via a solvent protein precipitation with acetonitrile and analyzed via ultra-performance liquid chromatography with tandem mass spectrometry. For these two cases, we describe the NBOMe instrumental analysis, toxicological results for postmortem heart blood and urine specimens and the relevant case history and pathological findings at autopsy. In the first case, 25B-NBOMe was detected in postmortem heart blood at 1.59 ng/mL; in the second case, 25I-NBOMe was detected in postmortem heart blood at 19.8 ng/mL. We also review relevant published casework from clinical toxicology and postmortem toxicology in which analytically confirmed 25B-NBOMe and 25I-NBOMe were determined to be causative agents in intoxications or deaths.

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