Pentobarbital use in a decomposed suicide
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We recently had a case with interesting toxicology results that we felt merited publication in the literature to bring attention to what could become a trend. While a similar case has been published recently , ours presented some unique learning points not otherwise covered.
The decedent was a 37-year-old white male, who was found unresponsive in his locked apartment in a moderate state of decomposition with skin discoloration, bloating, bullae formation, and skin slippage. He was seated and leaning over the back of a chair at a desk. The desk had a handwritten last will and testament and a bottle which contained a clear liquid. Autopsy did not reveal any signs of trauma, foul play, or obvious cause of death. Toxicology was sent; however, due to the state of decomposition, only liver, spleen, and cavity fluid were able to be sent to NMS Labs. The liver was positive for pentobarbital (190 µg/g) and metoclopramide (which could not be quantitated due to sample matrix...
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Conflict of interest
The authors have no financial or other relations that could lead to a conflict of interest.
The anonymity of the deceased has been totally preserved. This article does not contain any studies with living human participants or animals performed by any of the authors.
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