Ken-ichi Yoshida, Kanju Saka, Kaori Shintani-Ishida
Apr 21, 2015
Citations
1
Influential Citations
26
Citations
Quality indicators
Journal
Forensic Toxicology
Abstract
N-Benzyl-substituted phenethylamines (NBOMes) have emerged as novel hallucinogenic designer drugs with potent serotonin-receptor activation. We present the first scientific case report of fatal intoxication with 2-(4-bromo-2,5-dimethoxyphenyl)-N-(2-methoxybenzyl)ethanamine (25B-NBOMe). The plasma concentration of 25B-NBOMe upon admission was low, 3.15 ng/ml, but it exceeded concentrations reported previously in NBOMe intoxications cases. Our case documents complete clinical and pathophysiological findings that developed shortly after drug ingestion and highlights the danger of 25B-NBOMe use at small doses, based on autopsy and toxicological analyses. The patient presented symptoms consistent with serotonin syndrome.