@article{ref1,
title="Fatal outcome in a child after ingestion of a transdermal fentanyl patch",
journal="International journal of legal medicine",
year="2007",
author="Teske, Jorg and Weller, Jens-Peter and Larsch, Klaus and Troger, Hans Dieter and Karst, Matthias",
volume="121",
number="2",
pages="147-151",
abstract="The case history and toxicological findings of a fatal fentanyl intoxication due to ingestion of a transdermal patch are presented. A 1-year-old otherwise healthy girl was put to bed and 2 h later she was found dead. The autopsy revealed a 25-microg/h (4.2 mg) transdermal fentanyl patch in the stomach. Toxicological analysis by liquid chromatography-tandem mass spectrometry with positive electrospray ionization yielded fentanyl and norfentanyl concentrations in the peripheral blood of 5.6 and 5.9 ng/ml, heart blood 19.0 and 8.9 ng/ml, and liver 235 and 26 ng/g, respectively. The cause of death was determined to be a fentanyl overdose. The investigation established that the child has unintentionally swallowed the patch, which had been lying on the floor.<p /> <p>Language: en</p>",
language="en",
issn="0937-9827",
doi="10.1007/s00414-006-0137-3",
url="http://dx.doi.org/10.1007/s00414-006-0137-3"
}