External study possibilities of a dead body solution about the death occurrence from psychotropic and narcotic drug poisoning

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Abstract

Background: Poisoning with psychotropic and narcotic substances is still leads to the general structure of fatal intoxications. A decreased traditional psychotropic and narcotic drug fatal poisoning and an increased new synthetic psychoactive substances and combined consumption are recorded in the country. Aims: This study aimed to study the dynamics of drug poisoning incidence according to the annual report data in 2017–2020 in the Krasnodar territory and establish their predominant etiology. Analyze the medical literature and identify the data mostly described during the external examination that suggests narcotic drug exposure possibility of the body. Comparison of the literature and external examination results of the corpse from the Expert Conclusions (Acts of forensic medical research) to further use the signs to create a “profile” of the suspected poisoned corpse with narcotic substances. Material and methods: The study material includes the annual reports of the State Budgetary Healthcare Institution “Bureau SME” of the Ministry of Health of the Krasnodar Territory in 2017–2020, archival medical documentation — autopsy reports in cases of death from narcotic substances; domestic and foreign literary sources. Results: In the Krasnodar Territory, opiates account for a large proportion of drug deaths. Psychotropic and narcotic drug intake is often (up to 30%) combined with alcohol consumption. The study showed that forensic pathology rarely uses external signs that make up the “profile of a corpse” suspected of drug poisoning at the initial stage. The most common signs (in 50% of cases) were: injection traces, cyanotic and flushed face, conjunctival hemorrhages, and whitish-pink foam in the nose or mouth openings. Others were not given due attention. Conclusion: The research topic dictates the need for further study and problem development, accumulation, and systematization of the obtained material for subsequent use.

About the authors

Elena N. Travenko

Kuban State Medical University

Author for correspondence.
Email: elenaschon@yandex.ru
ORCID iD: 0000-0001-7403-2521
SPIN-code: 8748-3506

MD, Dr. Sci. (Med.), Assistant Professor

Russian Federation, 4 Mitrofan Sedina Street, Krasnodar, 350063

Valeriy A. Porodenko

Kuban State Medical University

Email: porodenko52@mail.ru
ORCID iD: 0000-0001-6353-7380
SPIN-code: 6685-8824

, MD, Dr. Sci. (Med.), Professor

Russian Federation, 4 Mitrofan Sedina Street, Krasnodar, 350063

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2. Fig. 1. Methadone poisoning: reddish-cyanotic coloration of the face; cyanosis of the transitional border of the lips; dried blood streaks near the openings of the nose; larvae of flies near the openings of the nose.

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3. Fig. 2. The drug of the «design group» — mephedrone: traces of scratching of the body.

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4. Fig. 3. Taking amphetamine: an allergic reaction in the form of a polymorphic rash and signs of inflammation.

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5. Fig. 4. Morphine poisoning: a tattoo sometimes done by drug addicts and indicating that they have served in places of deprivation of vaults.

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6. Fig. 5. Overdose tramadol: multiple injection marks in the groin, front of the thigh.

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7. Fig. 6. Long-term consumption of morphine: presence of «wells» in the area of the cubital fossa, tightening of the skin in the form of buttons, tunnels.

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8. Fig. 7. Injection mark with skin scratching marks (heroin injection). Multiple linear scars of the forearm (outcome of incised wounds healing).

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9. Fig. 8. Combined morphine and alcohol poisoning: rapid development of rotting of the upper half of the trunk.

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10. Fig. 9. Consumption of metaphetamine: rashes in the area of the nose, cheeks, chin.

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Copyright (c) 2021 Travenko E.N., Porodenko V.A.

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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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