B1 Non-refereed article in a scientific journal
Fatal α-PVP and amphetamine poisoning during a sauna and autoerotic practices
Authors: Lunetta Philippe, Kriikku Pirkko, Tikka Julius, Ojanperä Ilkka
Publisher: Springer
Publication year: 2020
Journal: Forensic Science, Medicine, and Pathology
Journal acronym: FORENSIC SCI MED PAT
Volume: 16
First page : 493
Last page: 497
Number of pages: 5
ISSN: 1547-769X
eISSN: 1556-2891
DOI: https://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 address: https://research.utu.fi/converis/portal/detail/Publication/47083772
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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