Citation

Paul ABM, Simms L, Mahesan AM. Forensic Sci. Int. 2018; 290: e15-e18.

Affiliation

University of Southern California, Los Angeles, CA, 90007, USA. Electronic address: mahesan@usc.edu.

Copyright

(Copyright © 2018, Elsevier Publishing)

DOI

10.1016/j.forsciint.2018.06.035

PMID

30017664

Abstract

Homicide occurs in approximately one in five injury-related deaths among infants in the United States and studies suggest that male caretakers (fathers or mothers' intimate partners) are the perpetrators of the majority of infant homicides. Opioid abuse is common and it is estimated that between 26.4 million and 36 million people abuse opioids worldwide. In this case report, we add to the literature the first reported homicide by intentional heroin administration in a 10-month old infant. Toxicology revealed morphine 1092ng/L, codeine 74ng/mL, and 6-monoacetyl-morphine 359ng/L in cardiac blood. Morphine 803ng/g, codeine 54ng/g in liver tissue, and morphine 181ng/mL was found in vitreous humor. With the prevalence of opioid abuse on the rise accidental opioid ingestions in the pediatric population have increased. However, forensic personnel must recognize the possibility of intentional poisoning in this vulnerable population.

Copyright © 2018 Elsevier B.V. All rights reserved.

Language: en

Keywords

Forensic science; Heroin; Homicide; Infant mortality; Opioids; Toxicology