Volume 43, Issue 1 (January 1998)

    Case Report of an Unusual Use of Lidocaine During Episodes of Self Mutilation

    Published Online: January


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    We are reporting on a case of polyintoxication by cocaine, lidocaine, methadone, and dextromoramide. This conclusion is supported by the analysis of a strand of hair. We note for the first time the detection of dextromoramide as well as lidocaine and desethyl-lidocaine in hair. Concentrations in hair were: cocaine = 2.4 ng/mg, benzoylecgonine = 0.3 ng/mg, methadone = 10.2 ng/mg, EDDP = 1.5 ng/mg, dextromoramide = 1.6 ng/mg, lidocaine = 115.9 ng/mg and desethyl-lidocaine = 1.6 ng/mg. The victim who was seeking an anesthesia effect without the loss of consciousness ingested cocktails during episodes of self mutilation. The wounds were of two different types and with different morphological locations: long and deep without ablation of tissue, clean lacerations found on the neck, the pectoral region, and the left upper extremity; either round or discoid with deep excavation found on the head (ears, forehead, chin, and lips) and also, on the neck and on the left upper extremity. Near the most recent wounds, needle marks were noticed indicating probable local infiltration of lidocaine.

    Author Information:

    Pepin, G
    Laboratoire d'Expertises TOXLAB, Paris,

    Gaillard, Y
    Laboratoire d'Expertises TOXLAB, Paris,

    Stock #: JFS16124J

    ISSN: 0022-1198

    DOI: 10.1520/JFS16124J

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    Title Case Report of an Unusual Use of Lidocaine During Episodes of Self Mutilation
    Symposium , 0000-00-00
    Committee E30