University of Oulu

Lunetta, P., Kriikku, P., Tikka, J. et al. Fatal α-PVP and amphetamine poisoning during a sauna and autoerotic practices. Forensic Sci Med Pathol 16, 493–497 (2020). https://doi.org/10.1007/s12024-020-00236-1

Fatal α-PVP and amphetamine poisoning during a sauna and autoerotic practices

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Author: Lunetta, Philippe1,2; Kriikku, Pirkko3,4; Tikka, Julius5;
Organizations: 1Department of Biomedicine, Forensic Medicine, University of Turku, Turku, Finland
2Department of Forensic Medicine, University of Oulu, Oulu, Finland
3Finnish Institute for Health and Welfare, Forensic Toxicology Unit, Helsinki, Finland
4Department of Forensic Medicine, University of Helsinki, Helsinki, Finland
5Finnish Institute for Health and Welfare, Forensic Medicine Unit, Helsinki, Finland
Format: article
Version: published version
Access: open
Online Access: PDF Full Text (PDF, 0.2 MB)
Persistent link: http://urn.fi/urn:nbn:fi-fe202101212321
Language: English
Published: Springer Nature, 2020
Publish Date: 2020-03-26
Description:

Abstract

We describe the sudden death of a middle-aged man while having a sauna under the influence of α-pyrrolidinovalerophenone (α-PVP) (PM blood concentration: 0.8 mg/L), amphetamine (0.34 mg/L), and other drugs (buprenorphine, benzodiazepines), and engaging in solitary sexual activities. The drugs’ effects on the cardio-circulatory system and on body thermoregulation combined with the high temperatures are likely to have been central mechanisms leading to death. The high levels of adrenaline triggered by sexual arousal and the respiratory depression caused by buprenorphine, in association with benzodiazepines, may have also contributed to his death. This previously unreported type of accidental autoerotic death illustrates the risk of using amphetamine-like sympathomimetic drugs (e.g. cathinone derivates) in hot environments such as a sauna, and during sexual activities therein.

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Series: Forensic science, medicine, and pathology
ISSN: 1547-769X
ISSN-E: 1556-2891
ISSN-L: 1547-769X
Volume: 16
Issue: 3
Pages: 493 - 497
DOI: 10.1007/s12024-020-00236-1
OADOI: https://oadoi.org/10.1007/s12024-020-00236-1
Type of Publication: A1 Journal article – refereed
Field of Science: 319 Forensic science and other medical sciences
Subjects:
Funding: Open access funding provided by University of Turku (UTU) including Turku University Central Hospital.
Copyright information: © The Author(s) 2020. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
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