Various Forms of Fatal Nicotine Intoxications: Three Cases Report
10.7580/kjlm.2018.42.2.71
- Author:
Jin Woo JOO
1
;
Minjung KIM
;
Min Jee PARK
;
Hongil HA
Author Information
1. Department of Pathology, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Nicotine;
Tobacco use cessation products;
Tobacco;
Death
- MeSH:
Adult;
Blood Alcohol Content;
Electronic Cigarettes;
Female;
Heart Arrest;
Hemostasis;
Humans;
Korea;
Middle Aged;
Mouth;
Nicotine;
Poisoning;
Powders;
Smoking Cessation;
Spouses;
Tobacco;
Tobacco Products;
Tobacco Use Cessation Products;
Tobacco, Smokeless;
Tongue;
Uzbekistan
- From:Korean Journal of Legal Medicine
2018;42(2):71-75
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Recently, fatal nicotine intoxications with electronic cigarette liquid have increased in Korea, but various kinds of cigarettes and smoking cessation aids may also cause fatal poisoning. We report cases of fatal nicotine intoxications involving causes other than the use of liquid nicotine. A 29-year-old woman (case 1) found dead in a hotel room with about 70 patches (21 mg dose) of nicotine on her body. Blood nicotine levels were 7.68 mg/L (heart) and 3.25 mg/L (femoral). A toxic level of zolpidem was also detected. A 28-year-old Uzbekistan man (case 2) was found dead in his uncle's room with his face covered with chewing tobacco. Blood nicotine levels were 7.3 mg/L (heart) and 4.6 mg/L (femoral). Blood alcohol level was 0.139%. A 55-year-old man (case 3) bit his tongue. As he was taken to the hospital, his wife put tobacco powders in his mouth for hemostasis, and he died of cardiac arrest. Blood nicotine levels were 2.01 mg/L (heart) and 0.96 mg/L (femoral). Nicotine-related deaths can be caused by various types of administration including transdermal and transmucosal routes, and relatively small doses may cause death, so meticulous investigation should be taken when such deaths are suspected.
