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J Anal Toxicol. 2015 Oct;39(8):668-71. doi: 10.1093/jat/bkv092.

A Case Review of the First Analytically Confirmed 25I-NBOMe-Related Death in Washington State.

Author information

1
Toxicology Laboratory Division, Washington State Patrol, 2203 Airport Way S. Ste. 360, Seattle, WA 98134, USA lyndsey.lowe@wsp.wa.gov.
2
Toxicology Laboratory Division, Washington State Patrol, 2203 Airport Way S. Ste. 360, Seattle, WA 98134, USA.

Abstract

This case was submitted to the Washington State Patrol Toxicology Laboratory in September 2014. A 15-year-old male went to a party where he ingested 25I-NBOMe and mushrooms. A short time later, he started to vomit and began seizing until he eventually passed out. Resuscitation efforts were made, but were unsuccessful. He was transported to a local hospital, where he died three days later of multi-system organ failure following cardiopulmonary arrest. The hospital admission samples were negative for ethanol and basic drugs and their metabolites. The hospital serum confirmed positive for delta-9-tetrahydrocannabinol (THC) and carboxy-THC at 4.1 and 83 ng/mL, respectively. On the basis of the case history, the hospital blood and urine were sent to NMS Labs for NBOMe and psilocin confirmation. The blood was positive for 25I-NBOMe, and the urine was positive for 25C-, 25H- and 25I-NBOMe, as well as, psilocin. Antemortem and postmortem blood were also sent to AIT Laboratories for NBOMe confirmation. The antemortem blood confirmed positive for 25I-NBOMe with a concentration of 0.76 ng/mL. The manner of death was ruled an accident as a result of combined 25I-NBOMe and psilocin intoxication.

PMID:
26378143
DOI:
10.1093/jat/bkv092
[Indexed for MEDLINE]

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