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Drug Fatality Involving Kratom

NCJ Number
243719
Journal
Journal of Forensic Sciences Volume: 58 Issue: S 1 Dated: January 2013 Pages: S 278-S 279
Author(s)
Michael F. Neerman, Ph.D.; Randall E. Frost, M.D.; Janine Deking, B.S.
Date Published
January 2013
Length
2 pages
Annotation
This study discusses a possible death resulting from Kratom use.
Abstract
A 17-year-old white man who showed no obvious signs of trauma was found unresponsive in bed and was pronounced dead at the scene. The decedent had a documented history of heroin abuse and chronic back pain and reportedly self-medicated with Kratom (mitragynine). The autopsy was remarkable only for pulmonary congestion and edema and a distended bladder, both of which are consistent with, though not diagnostic of, opiate use. A laboratory work-up revealed therapeutic levels of over-the-counter cold medications and benzodiazepines. However, of interest was a level of mitragynine at 0.60 mg/L. Given the facts of the case, the Medical Examiner certified the cause of death as "possible Kratom toxicity" and the manner of death was classified as "accident." Abstract published by arrangement with John Wiley & Sons.