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J Forensic Sci. 2019 Jul;64(4):1266-1270. doi: 10.1111/1556-4029.13982. Epub 2018 Dec 12.

Unpredictable Behavior Under the Influence of "Magic Mushrooms": A Case Report and Review of the Literature.

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Forensic Medicine Department, University Hospital of Lyon, 5 place d'Arsonval, Lyon, France.
Faculty of Medicine, University of Lyon, UCBL1, 8 avenue Rockefeller, Lyon, France.
LAT LUMTOX Laboratory, 108 Boulevard Pinel, Lyon, France.


Fatalities implicating psychedelic mushrooms are not a common clinical situation in everyday forensic medicine. Despite classification as an illegal drug in many countries, psilocybin mushrooms have the reputation of being safe. We report the case of a young man who jumped from a second story balcony under the influence of psilocybin mushrooms. The psilocin assay was performed by gas chromatography coupled to an electron-impact ionization time-of-flight detector (GC-EI-TOF) after solid-phase extraction. Total psilocin was quantified in peripheral and cardiac blood as 60 and 67 ng/mL, respectively, and in urine (2230 ng/mL), bile (3102 ng/mL), and vitreous humor (57 ng/mL). This case report and review of literature highlights the danger of psilocybin mushrooms. Isolated use of psilocybin mushrooms by a regular consumer without psychiatric history, even under "safe" circumstances, can lead to a fatal outcome.


bad trip; forensic science; forensic toxicology; magic mushrooms; psilocin; psilocybin

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