title: Cyanide Suicide After Deep Web Shopping: A Case Report.
abstract: Cyanide is a product that is known for its use in industrial or laboratory processes, as well as for intentional intoxication. The toxicity of cyanide is well described in humans with rapid inhibition of cellular aerobic metabolism after ingestion or inhalation, leading to severe clinical effects that are frequently lethal. We report the case of a young white man found dead in a hotel room after self-poisoning with cyanide ordered in the deep Web. This case shows a probable complex suicide kit use including cyanide, as a lethal tool, and dextromethorphan, as a sedative and anxiolytic substance. This case is an original example of the emerging deep Web shopping in illegal drug procurement.
authors.affiliation: From the *Service de Médecine Légale, UTML (EA 7367), and †Laboratoire de Toxicologie, Univ Lille, CHU Lille, Lille, France.
authors.forename: Erwan
authors.initials: E
authors.lastname: Le Garff
authors.forename: Yann
authors.initials: Y
authors.lastname: Delannoy
authors.forename: Vadim
authors.initials: V
authors.lastname: Mesli
authors.forename: Delphine
authors.initials: D
authors.lastname: Allorge
authors.forename: Valéry
authors.initials: V
authors.lastname: Hédouin
authors.forename: Gilles
authors.initials: G
authors.lastname: Tournel
mesh_terms: D000328:Adult; D003132:Commerce; D003486:Cyanides / Q000506:poisoning*; D003915:Dextromethorphan / Q000008:administration & dosage; D006801:Humans; D006993:Hypnotics and Sedatives / Q000008:administration & dosage; D020407:Internet; D008297:Male; D013405:Suicide
chemical_list: D003486:Cyanides; D006993:Hypnotics and Sedatives; D003915:Dextromethorphan