Citation

Neerman MF, Frost RE, Deking J. J. Forensic Sci. 2013; 58(Suppl 1): S278-9.

Affiliation

Bexar County Medical Examiner's Office, 7337 Louis Pasteur Drive, San Antonio, TX, 78229.

Copyright

(Copyright © 2013, American Society for Testing and Materials, Publisher John Wiley and Sons)

DOI

10.1111/1556-4029.12009

PMID

23082895

Abstract

A 17-year-old white man who showed no obvious signs of trauma was found unresponsive in bed and was pronounced dead at the scene. The decedent had a documented history of heroin abuse and chronic back pain and reportedly self-medicated with Kratom (mitragynine). The autopsy was remarkable only for pulmonary congestion and edema and a distended bladder, both of which are consistent with, though not diagnostic of, opiate use. A laboratory work-up revealed therapeutic levels of over-the-counter cold medications and benzodiazepines. However, of interest was a level of mitragynine at 0.60 mg/L. Given the facts of the case, the Medical Examiner certified the cause of death as "possible Kratom toxicity" and the manner of death was classified as "accident."

Language: en