Fatal α-PVP and amphetamine poisoning during a sauna and autoerotic practices
Lunetta P, Kriikku P, Tikka J, Ojanperä I
Forensic science, medicine, and pathology · 7 citations
How it was studied
- Design
- Case report (indexed by PubMed)
- Studied in
- People
- Main outcome
- Clinical events such as disease or death
Who paid for it
- Funding
- Independent funding
- University or hospital
- Turun Yliopisto
- University or hospital
- University of Turku (UTU) including Turku University Central Hospital
Based on 2 listed funder(s) and full-text disclosure statement.
Publication
- Published
- 2020-03-26 · Forensic Sci Med Pathol · vol. 16 · issue 3 · pp. 493–497
- Publisher
- Springer Science+Business Media
- Cited
- 12 citations · more than 62% of similar papers · 0.8× the field average
- References
- 41 works
- Access
- Open access (hybrid journal) · CC-BY
- Research areas
- Forensic Toxicology and Drug Analysis · Restraint-Related Deaths · Psychedelics and Drug Studies
- Keywords
- Amphetamine, Buprenorphine, Medicine, Sexual arousal, Anesthesia, Cathinone, Pharmacology, Internal medicine, Sexual behavior, Opioid, Dopamine
- MeSH
- humans, respiratory insufficiency, substance-related disorders, amphetamine, buprenorphine, pyrrolidines, benzodiazepines, designer drugs, steam bath, masturbation, middle aged, male
4 authors
From FI
- Philippe Lunetta · correspondingUniversity of Turku; University of Oulu
- Pirkko KriikkuUniversity of Helsinki; Finnish Institute for Health and Welfare
- Julius TikkaFinnish Institute for Health and Welfare
- Ilkka Antero OjanperäUniversity of Helsinki; Finnish Institute for Health and Welfare
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.
Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).
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