Fatal Bupivacaine Intoxication Following Unusual Erotic Practices

A fatal drug overdose is described which involved unusual erotic practices. A 54-year-old male was discovered supine on the floor surrounded by sexual paraphernalia, syringes, and medications including three empty bottles of bupivacaine. Acute and chronic injection sites of the external genitalia wi...

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Bibliographic Details
Published in:Journal of forensic sciences 2004-03, Vol.49 (2), p.1-3
Main Authors: Yazzie, J, Kelly, SC, Zumwalt, RE, Kerrigan, S
Format: Article
Language:English
Subjects:
Anesthetics, Local - administration & dosage
Anesthetics, Local - blood
Anesthetics, Local - poisoning
Bupivacaine - administration & dosage
Bupivacaine - blood
Bupivacaine - poisoning
Forensic sciences
Humans
Injections, Intra-Arterial
Male
Middle Aged
Paraphilic Disorders
Scrotum
Toxicity
Toxicology
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Summary:A fatal drug overdose is described which involved unusual erotic practices. A 54-year-old male was discovered supine on the floor surrounded by sexual paraphernalia, syringes, and medications including three empty bottles of bupivacaine. Acute and chronic injection sites of the external genitalia with contusions, scarring, focal necrosis, and calcification were present at autopsy. Toxicology revealed femoral blood, heart blood, and vitreous bupivacaine concentrations of 3.8, 2.8 and 1.3 mg/L, respectively. The urine bupivacaine concentration was 11.4 mg/L. The cause of death was attributed to bupivacaine intoxication and the manner of death was accidental.
ISSN:0022-1198
1556-4029
DOI:10.1520/JFS2003193