B1 Non-refereed article in a scientific journal

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




AuthorsLunetta Philippe, Kriikku Pirkko, Tikka Julius, Ojanperä Ilkka

PublisherSpringer

Publication year2020

JournalForensic Science, Medicine, and Pathology

Journal acronymFORENSIC SCI MED PAT

Volume16

First page 493

Last page497

Number of pages5

ISSN1547-769X

eISSN1556-2891

DOIhttps://doi.org/10.1007/s12024-020-00236-1

Web address https://link.springer.com/article/10.1007/s12024-020-00236-1

Self-archived copy’s web addresshttps://research.utu.fi/converis/portal/detail/Publication/47083772


Abstract
We describe the sudden death of a middle-aged man while having a sauna under the influence of alpha-pyrrolidinovalerophenone (alpha-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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