Volatile lipophilic substances management in case of fatal sniffing.

Details

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State: Public
Version: Author's accepted manuscript
License: CC BY-NC-ND 4.0
Serval ID
serval:BIB_21F5BEE43551
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Volatile lipophilic substances management in case of fatal sniffing.
Journal
Journal of forensic and legal medicine
Author(s)
Romolo F.S., di Luca N.M., Ciallella C., Bottoni E., Fiore P.A., Cappelletti S., Giuliani N., Augsburger M., Varlet V.
ISSN
1878-7487 (Electronic)
ISSN-L
1752-928X
Publication state
Published
Issued date
11/2017
Peer-reviewed
Oui
Volume
52
Pages
35-39
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Death due to inhalation of aliphatic hydrocarbons such as butane and propane is a particularly serious problem worldwide, resulting in several fatal cases of sniffing these volatile substances in order to "get high". Despite the number of cases published, there is not a unique approach to case management of fatal sniffing. In this paper we illustrate the volatile lipophilic substances management in a case of a prisoner died after sniffing a butane-propane gas mixture from prefilled camping stove gas canisters, discussing the comprehensive approach of the crime scene, the autopsy, histology and toxicology. A large set of accurate values of both butane and propane was obtained by gas chromatography-mass spectrometry analyzing the following post-mortem biological samples: peripheral blood, heart blood, vitreous humor, liver, lung, heart, brain/cerebral cortex, fat tissue, kidney, and allowed an in depth discussion about the cause of death. A key role is played by following the proper sampling approach during autopsy.

Keywords
Butane-propane poisoning, Cardiac arrhythmia, Forensic toxicology, Sudden sniffing death syndrome, Volatile substance abuse
Pubmed
Web of science
Open Access
Yes
Create date
01/09/2017 8:10
Last modification date
20/08/2019 12:58
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