Journal Published Online: 01 January 1998
Volume 43, Issue 1

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



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

Gaillard, Y
Laboratoire d'Expertises TOXLAB, Paris, France
Pepin, G
Laboratoire d'Expertises TOXLAB, Paris, France
Pages: 4
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Stock #: JFS16124J
ISSN: 0022-1198
DOI: 10.1520/JFS16124J