A MEXILETINE INTOXICATION

被引:10
作者
KEMPTON, J
MANOUKIAN, A
LEVINE, B
SMIALEK, J
机构
[1] Office of the Chief Medical Examiner, State of Maryland, Baltimore, MD, 21201
关键词
D O I
10.1093/jat/18.6.346
中图分类号
O65 [分析化学];
学科分类号
070302 ; 081704 ;
摘要
A case is presented of a 26-year-old white male with a history of depression and previous suicide attempts. No anatomic cause of death was determined at the autopsy. Comprehensive toxicological analysis of the blood and urine specimens identified mexiletine, a class 1B antiarrhythmic drug. Mexiletine was detected by gas chromatography and confirmed by gas chromatography-mass spectrometry. Quantitations were as follows: heart blood, 38 mg/L; subclavian blood, 14 mg/L; urine, 370 mg/L; liver, 190 mg/kg; kidney, 170 mg/kg; vitreous humor, 17 mg/L; and bile, 440 mg/L. The medical examiner ruled that the cause of death was mexiletine intoxication and the manner of death was suicide. © 1994, Oxford University Press.
引用
收藏
页码:346 / 347
页数:2
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