Toluene abuse as a contributing factor in a case of fatal autoerotic asphyxia.

Autor: Handlos P; Institute of Forensic Medicine, University Hospital Ostrava, 17. listopadu 1790/5, Ostrava CZ-70852, Czech Republic; Department of Pathology, Faculty of Medicine, Ostrava University, CZ-703 00 Ostrava, Czech Republic., Gebauerová V; Institute of Forensic Medicine, University Hospital Ostrava, 17. listopadu 1790/5, Ostrava CZ-70852, Czech Republic., Papoušek R; Institute of Forensic Medicine, University Hospital Ostrava, 17. listopadu 1790/5, Ostrava CZ-70852, Czech Republic., Handlosová K; Institute of Forensic Medicine, University Hospital Ostrava, 17. listopadu 1790/5, Ostrava CZ-70852, Czech Republic., Dokoupil M; Institute of Forensic Medicine, University Hospital Ostrava, 17. listopadu 1790/5, Ostrava CZ-70852, Czech Republic., Klabal O; Department of English and American Studies , Faculty of Arts, Palacký University Olomouc, CZ-779 00 Olomouc, Czech Republic., Uvíra M; Institute of Forensic Medicine, University Hospital Ostrava, 17. listopadu 1790/5, Ostrava CZ-70852, Czech Republic; The Fingerland Department of Pathology, Faculty of Medicine in Hradec Kralove, Charles University, CZ-500 03 Hradec Kralove, Czech Republic. Electronic address: matej.uvira@fno.cz.
Jazyk: angličtina
Zdroj: Legal medicine (Tokyo, Japan) [Leg Med (Tokyo)] 2022 Jul; Vol. 57, pp. 102062. Date of Electronic Publication: 2022 Apr 09.
DOI: 10.1016/j.legalmed.2022.102062
Abstrakt: Autoerotic asphyxia is a form of deviant sexual behavior that seeks sexual gratification by means of manipulation with one's own body resulting in asphyxia, and may sometimes turn out to be fatal. Autoerotic fatalities involving autoerotic asphyxia are divided into two groups: "typical" autoerotic fatalities involve mechanical compression of the neck, chest or abdomen, whereas "atypical" autoeroticism involves sexual self-stimulation by other means. Cases where asphyxiophilic behavior is accompanied by volatile substance abuse are reported to be rather rare, but may involve a high risk of fatal results. This paper presents a case of accidental "atypical" autoeroticism involving victim's abuse of toluene, which, combined with asphyxiophilic airway occlusion, led to death. For the sake of comprehensiveness, both a verbal description and a schematic representation of the major metabolic pathways of acute and chronic abuse metabolic markers is provided.
(Copyright © 2022 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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