title: [Death in the bathtub--rectal drug administration].
abstract: A young nurse was found dead in a bathtub. An autopsy revealed the following results: pulmonary emphysema, severe edema of both lungs, transudation in both pleural cavities. Conspicuous were skin sticks of a white wax material. In chemical-toxicological analysis diazepam, tetrazepam and phenobarbital were detected in this material. After anal-rectal and additionally oral ingestion the following blood concentrations were determined: BAC 0.03/1000; diazepam 500 ng/ml; nordiazepam 65 ng/ml; tetrazepam 180 ng/ml; phenobarbital 9.4 mg/l. In connection with this drug effects an acute, multifocal, suppurating bronchopneumonia in both lungs was revealed as the cause of death.
authors.affiliation: Institut für Rechtsmedizin, Universität Bonn.
authors.forename: F
authors.initials: F
authors.lastname: Musshoff
authors.forename: R
authors.initials: R
authors.lastname: Dettmeyer
authors.forename: B
authors.initials: B
authors.lastname: Madea
mesh_terms: D000285:Administration, Rectal; D000328:Adult; D014151:Anti-Anxiety Agents / Q000097:blood / Q000506:poisoning*; D001569:Benzodiazepines; D001570:Benzodiazepinones / Q000097:blood / Q000506:poisoning*; D001996:Bronchopneumonia / Q000139:chemically induced / Q000473:pathology; D003975:Diazepam / Q000097:blood / Q000506:poisoning*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D006993:Hypnotics and Sedatives / Q000097:blood / Q000506:poisoning*; D010634:Phenobarbital / Q000097:blood / Q000506:poisoning*; D010994:Pleura / Q000473:pathology; D011656:Pulmonary Emphysema / Q000473:pathology; D012867:Skin / Q000473:pathology; D013405:Suicide
chemical_list: D014151:Anti-Anxiety Agents; D001570:Benzodiazepinones; D006993:Hypnotics and Sedatives; D001569:Benzodiazepines; C005245:tetrazepam; D003975:Diazepam; D010634:Phenobarbital
vernacular_title: Tod in der Badewanne--Rektale Medikamentenbeibringung.