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Systematic Toxicological Analysis Revealing a Rare Case of Captan Ingestion

NCJ Number
246174
Journal
Journal of Forensic Sciences Volume: 58 Issue: 4 Dated: July 2013 Pages: 1099-1103
Author(s)
Anne K. Gottzein Ph.D.; Frank Musshoff Ph.D.; Burkhard Madea M.D.
Date Published
July 2013
Length
5 pages
Annotation
This article presents a case of suicide by intoxication with various pharmaceuticals, particularly anticonvulsants, combined with the fungicide captan.
Abstract
This article presents a case of suicide by intoxication with various pharmaceuticals, particularly anticonvulsants, combined with the fungicide captan. A cause of death could not be ascertained at autopsy. However, systematic toxicological analysis STA including a screening via solid-phase microextraction SPME and gas chromatography-mass spectrometry GC-MS for semi volatile organic compounds revealed results suggesting a possible cause of death. The effects of captan on the human organism, its metabolism, and distribution will be discussed. Macroscopically, the cause of death was unascertained. STA revealed clonazepam, citalopram, and its metabolites, lamotrigine, levetiracetam, lacosamide, clonazepam, captan, and its metabolite tetrahydrophthalimide THPI. For the first time, it was detected in human viscera. A quantification of THPI was performed to obtain distribution in the organs. The significance of a complete STA must be emphasized. The presence of THPI would have been missed without previous detection of captan. Consequently, this fatality would not have been investigated satisfactorily. Abstract published by arrangement with Wiley.