TY  - JOUR
PY  - 2007//
TI  - Fatal outcome in a child after ingestion of a transdermal fentanyl patch
JO  - International journal of legal medicine
A1  - Teske, Jorg
A1  - Weller, Jens-Peter
A1  - Larsch, Klaus
A1  - Troger, Hans Dieter
A1  - Karst, Matthias
SP  - 147
EP  - 151
VL  - 121
IS  - 2
N2  - 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>
LA  - en
SN  - 0937-9827
UR  - http://dx.doi.org/10.1007/s00414-006-0137-3
ID  - ref1
ER  -