Unpredictable Behavior Under the Influence of “ Magic Mushrooms: A Case Report and Review of the Literature *
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Emma Honyiglo [1] ; Angélique Franchi [1] ; Nathalie Cartiser [1] ; Charline Bottinelli [2] ; Anne Sophie Advenier [1] ; Fabien Bévalot [2] ; Laurent Fanton [1]
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[1] Forensic Medicine Department, University Hospital of Lyon.France
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[2] LAT LUMTOX Laboratory.France
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- Localización: Journal of forensic sciences, ISSN-e 1556-4029, ISSN 0022-1198, Vol. 64, Nº. 4, 2019, págs. 1266-1270
- Idioma: inglés
- Texto completo no disponible (Saber más ...)
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Resumen
Fatalities implicating psychedelic mushrooms are not a common clinical situation in everyday forensic medicine. Despite classification as an illegal drug in many countries, psilocybin mushrooms have the reputation of being safe. We report the case of a young man who jumped from a second story balcony under the influence of psilocybin mushrooms. The psilocin assay was performed by gas chromatography coupled to an electron-impact ionization time-of-flight detector (GC-EI-TOF) after solid-phase extraction. Total psilocin was quant i-fied in peripheral and cardiac blood as 60 and 67 ng/mL, respectively, and in urine (2230 ng/mL), bile (3102 ng/mL), and vitreous humor (57 ng/mL). This case report and review of literature highlights the danger of psilocybin mushrooms. Isolated use of psilocybin mushrooms by a regular consumer without psychiatric history, even under “safe”circumstances, can lead to a fatal outcome.
