Analytical Challenge in Postmortem Toxicology Applied to a Human Body Found into a Lake after Three Years Immersion

J Forensic Sci. 2015 Sep;60(5):1383-6. doi: 10.1111/1556-4029.12815. Epub 2015 Aug 10.

Abstract

The body of a 30-year-old woman was found in Como lake at a depth of about 120 meters in her own car after 3 years of immersion. The aim of this study was to evaluate psychoactive drugs as well as alcohol biomarkers in biological matrices. The following analyses were initially performed: GC-MS systematic toxicological analysis on biological fluids and tissues; GC-MS analysis of drugs of abuse on pubic hair; direct ethanol metabolite determination in pubic hair by LC-MS/MS. After 7 years, the samples, that had been stored at -20°C, were re-analyzed and submitted to an LC-MS/MS targeted screening method, using multiple reaction monitoring mode. These analyses detected citalopram (150-3000 ng/mL), desmethylcitalopram (50-2300 ng/mL), clotiapine (20-65 ng/mL), and ethyl glucuronide (97 pg/mg). The methods showed an acceptable reproducibility, and the concentrations of citalopram and desmethylcitalopram calculated through the two analytical techniques did not significantly differ in biological fluids.

Keywords: LC-MS/MS; death by drowning; ethyl glucuronide; forensic science; postmortem toxicology; psychoactive drugs.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Antipsychotic Agents / analysis
  • Bile / chemistry
  • Brain Chemistry
  • Chromatography, Liquid
  • Citalopram / analogs & derivatives
  • Citalopram / analysis
  • Dibenzothiazepines / analysis
  • Female
  • Forensic Toxicology
  • Gas Chromatography-Mass Spectrometry
  • Gastrointestinal Contents / chemistry
  • Glucuronates / analysis
  • Hair / chemistry
  • Humans
  • Immersion*
  • Kidney / chemistry
  • Lakes
  • Lung / chemistry
  • Muscle, Skeletal / chemistry
  • Postmortem Changes*
  • Time Factors

Substances

  • Antipsychotic Agents
  • Dibenzothiazepines
  • Glucuronates
  • Citalopram
  • ethyl glucuronide
  • desmethylcitalopram
  • clothiapine