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A case of extreme agitation and death after the use of mephedrone in The Netherlands

A case of extreme agitation and death after the use of mephedrone in The Netherlands

  1. catseye
    Klaas J. Lusthof, Roelof Oosting, Ann Maes, Miranda Verschraagen, Albert Dijkhuizen, Annette G.A. Sprong

    Forensic Sci Int.
    2011 Jan 10 [article in press, corrected proof]

    Abstract:
    A 36-year old man, having injured himself severely by smashing windows in a rage of fury, was arrested
    by the police. He died despite resuscitation attempts. The forensic autopsy showed many superficial skin
    lacerations, bruises and minor brain swelling, but there was no definitive cause of death. Toxicological
    analysis showed a high concentration of mephedrone in femoral blood (5.1 mg/L) and traces of cocaine,
    MDMA and oxazepam. The remaining dose of mephedrone in the stomach contents was estimated at 113 mg. Tablets that were found in the house of the deceased also contained mephedrone. We attribute this man’s death to a fatal oral intake of mephedrone, which probably led to a state of excited delirium. This was aggravated by blood loss from multiple wounds.