Abstract
A young nurse was found dead in a bathtub. An autopsy revealed the following results: pulmonary emphysema, severe edema of both lungs, transudation in both pleural cavities. Conspicuous were skin sticks of a white wax material. In chemical-toxicological analysis diazepam, tetrazepam and phenobarbital were detected in this material. After anal-rectal and additionally oral ingestion the following blood concentrations were determined: BAC 0.03/1000; diazepam 500 ng/ml; nordiazepam 65 ng/ml; tetrazepam 180 ng/ml; phenobarbital 9.4 mg/l. In connection with this drug effects an acute, multifocal, suppurating bronchopneumonia in both lungs was revealed as the cause of death.
Publication types
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Case Reports
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English Abstract
MeSH terms
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Administration, Rectal
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Adult
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Anti-Anxiety Agents / blood
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Anti-Anxiety Agents / poisoning*
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Benzodiazepines*
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Benzodiazepinones / blood
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Benzodiazepinones / poisoning*
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Bronchopneumonia / chemically induced
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Bronchopneumonia / pathology
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Diazepam / blood
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Diazepam / poisoning*
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Fatal Outcome
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Female
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Humans
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Hypnotics and Sedatives / blood
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Hypnotics and Sedatives / poisoning*
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Phenobarbital / blood
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Phenobarbital / poisoning*
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Pleura / pathology
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Pulmonary Emphysema / pathology
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Skin / pathology
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Suicide*
Substances
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Anti-Anxiety Agents
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Benzodiazepinones
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Hypnotics and Sedatives
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Benzodiazepines
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tetrazepam
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Diazepam
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Phenobarbital