@article{ref1,
title="Suicide by subcutaneous mass injection of low molecular weight heparin",
journal="Rechtsmedizin: Organ der Deutschen Gesellschaft für Rechtsmedizin",
year="2009",
author="Schulz, Y. and Larsch, K.-p. and Weller, J.-p. and Gropper, U. and Länger, F. and Breitmeier, D.",
volume="19",
number="2",
pages="95-101",
abstract="For the first time a case of death due to suicidal subcutaneous mass injection of heparin is reported. A 40-year-old woman was found unconscious in a car, into which exhaust gases had been led. Inside the car 62 empty syringes of Clexane® 80 mg as well as tablet boxes of bromazanil®, paracetamol and doxepin were found. The woman's abdominal wall showed numerous injection sites. The assumed overdose of enoxaparin sodium was clinically estimated as prognostically prominent and considerably determined the clinical process up to death. A heparin-induced thrombocytopenia could be excluded. The patient died under the clinical symptoms of progressive multiple organ failure with terminal respiratory insufficiency due to disseminated intravasal coagulopathy. A postmortem laboratory confirmation of the heparin overdose was not possible. With respect to the rareness of intentional self-applied heparin overdose, the present case is reported with special consideration of the course of the disease. © 2009 Springer Medizin Verlag.<p /><p>Language: de</p>",
language="de",
issn="0937-9819",
doi="10.1007/s00194-008-0584-x",
url="http://dx.doi.org/10.1007/s00194-008-0584-x"
}