Prognostic criteria for the forensic diagnosis of acute drug poisoning at the stage of study of corpse

Dolgova O.B.

Ural State Medical University of the Ministry of Health of Russia

Grekhov I.A.

Ural State Medical University of the Ministry of Health of Russia

Prognostic criteria for the forensic diagnosis of acute drug poisoning at the stage of study of corpse

Authors:

Dolgova O.B., Grekhov I.A.

More about the authors

Journal: Forensic Medical Expertise. 2020;63(4): 22‑26

DOI: 10.17116/sudmed20206304122

Downloaded: 124

Download PDF (RU)

Contact the author

Table of contents

To cite this article:

Dolgova OB, Grekhov IA. Prognostic criteria for the forensic diagnosis of acute drug poisoning at the stage of study of corpse. Forensic Medical Expertise. 2020;63(4):22‑26. (In Russ.)
https://doi.org/10.17116/sudmed20206304122

Подписка 2025-2 (Forensic Medical Expertise)

Close metadata

We studied the morphological criteria that allow us to assess the need to send biological material to a forensic chemical study based on the results of a forensic medical study of a corpse in cases of suspected acute drug poisoning. According to a statistical analysis, it was determined that under the condition of death with a fast agonal period, the most characteristic prognostic signs of acute drug poisoning are young age, the presence of traces of injections and/or «wells», lung mass more than 1050 g, the sum of the size of the spleen exceeding 25. The use of a combination of the three indicated characteristic signs encountered in acute drug poisoning can increase the likelihood of detecting acute poisoning with psychoactive substances. Taking into account the tendency of recent years to increase the age of drug users, the possibility of using exclusively morphological characters has been objectively proven while maintaining the specificity of the diagnosis of acute drug poisoning

Keywords:

narcotic substances

acute drug poisoning

forensic diagnostics

Authors:

Dolgova O.B.

Ural State Medical University of the Ministry of Health of Russia

Grekhov I.A.

Ural State Medical University of the Ministry of Health of Russia

Received:

17.12.2019

Accepted:

20.01.2020

List of references:

Shevyrin V, Eltsov O, Shafran Y, Melkozerov V, Nevero A, Baranovsky A. Synthetic cannabinoids as designer drugs: new representatives of indol-3-carboxylates series and indazole-3-carboxylates as novel group of cannabinoids. Identification and analytical data. Forensic science international. 2014;244:263-275. https://doi.org/10.1016/j.forsciint.2014.09.013
Gordeeva MV, Veleslavova OE, Baturova MA, Rylov AYu, Lavrentyuk GP, Platonov PG, SHubik YuV. Suddent non-violent death in young adults (retrospective analysis). Vestnik aritmologii. 2014;4(59):25-32. (In Russ.).
Davis GG. Complete Republication: National Association of Medical Examiners Position Paper: Recommendations for the Investigation, Diagnosis, and Certification of Deaths Related to Opioid Drugs. J Med Toxicol. 2014;10(1):100-106. https://doi.org/10.1007/s13181-013-0323-x
Patel MM, Belson MG, Wright D, Lu H, Heninger M, Miller MA. Methylenedioxymethamphetamine (ecstasy)-related myocardial hypertrophy: an autopsy study. Resuscitation. 2005;66(2):197-202. https://doi.org/10.1016/j.resuscitation.2005.01.020
Shigeev SV. Preliminary data in the forensic diagnosis of drug poisoning. Sudebnaya ekspertiza. 2007;1(9):80-87. (In Russ.).
Wirth I, Correns A, Pragst F, Schmeling A. Fatal MDMA-intoxication with postmortem diagnosis of hyperthermia. Arch Kriminol. 2007;220(5-6): 141-151.
Dolinak D. Opioid Toxicity. Acad Forensic Pathol. 2017;7(1):19-35. https://doi.org/10.23907/2017.003
Orlovskaya AV. Sudebno-medicinskaya ocenka morfologicheskih izmenenij v selezenke pri narkoticheskoj intoksikacii: Dis. ... kand. med. nauk. M. 2004. (In Russ.).
Buettner M, Toennes SW, Buettner S, Bickel M, Allwinn R, Geiger H, Bratzke H, Amann K, Jung O. Nephropathy in illicit drug abusers: a postmortem analysis. Am J Kidney Dis. 2014;63(6):945-953. https://doi.org/10.1053/j.ajkd.2014.01.428
Frisoni P, Bacchio E, Bilel S, Talarico A, Gaudio RM, Barbieri M, Neri M, Marti M. Novel Synthetic Opioids: The Pathologist’s Point of View. Brain Sci. 2018;8(9):170. https://doi.org/10.3390/brainsci8090170
Majchrzak M, Celinski R, Kus P, Kowalska T, Sajewicz M. The newest cathinone derivatives as designer drugs: an analytical and toxicological review. Forensic toxicology. 2018;36(1):33-50. https://doi.org/10.1007/s11419-017-0385-6
Tabarra I, Soares S, Rosado T, Gonçalves J, Luis A, Malaca S, Barroso M, Keller T, Restolho J, Gallardoa E. Novel synthetic opioids — toxicological aspects and analysis. Forensic Sci Res. 2019;4(2):111-140. https://doi.org/10.1080/20961790.2019.1588933
Choi N, Nitto D, Marti N, Choi B. Poisoning deaths among late-middle aged and older adults: comparison between suicides and deaths of undetermined intent. The American Journal of Geriatric Psychiatry. 2019;27(3): 176-177. https://doi.org/10.1017/S1041610218001540
V Rossii naschitali 640 tysyach narkomanov. Interfaks. (In Russ.). https://www.interfax.ru/russia/552140
Grzhibovskij AM. Analysis of nominal data independent observations). Ekologiya cheloveka. 2008;6:58-68. (In Russ.).

Close metadata