[Unusual intimal and endocardial damage following suicidal infusion of thiobutabarbital]

Fatal blood and tissue concentrations of more than 200 drugs

Fatal drug concentrations in body fluids and tissue samples are presented for more than 200 drugs and chemicals of toxicologic interest. Additionally, a reference list is added with more than 600 original papers concerning intoxications with a lethal outcome. The data can be helpful for the interpretation and plausibility control in own cases of intoxication. However, they should be used with caution, because use of drug data without sufficient knowledge about the patient or victim, the circumstances of the case, and about toxicokinetics and toxicodynamics might give a wrong interpretation in a special case.

Injection of toxic agents: an unusual cause of death

Self-injection of toxic substances is a rare method of suicide. Since only case reports exist in the forensic literature, an evaluation of the autopsy reports of the Munich Department of Legal Medicine in the period 1976-1994 was performed including 36 suicides and seven homicides due to injection of toxic agents. The majority of the decreased were physicians nurses or, in cases of homicidal intoxication relatives. The commonly used substances were anaesthetic drugs.