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Human & Experimental Toxicology
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Homicidal poisoning by injection of methidathion: The first ever report

Caglar Ozdemir

Department of Forensic Medicine, Erciyes University Faculty of Medicine, Turkey

Hakan Kar

Department of Forensic Medicine, Mersin University Faculty of Medicine, Turkey, hakankar{at}mersin.edu.tr

Yasar Bilge

Department of Forensic Medicine, Ankara University Faculty of Medicine, Turkey

Gokhan Batuk

Council of Forensic Medicine, Adana Group Administration, Turkey

Hulya Isler Batuk

Council of Forensic Medicine, Adana Group Administration, Turkey

We present the first ever case of homicidal poisoning due to injection of methidathion, an organophosphate insecticide. Case: A 4-month-old baby presented to the emergency department with chief complaints of unconsciousness and irregular respiration. A bitter odour and an injection site with a greenish blue colouration and two bullaous lesions were noticed by the emergency department physicians. Postmortem examinations revealed a wide shiny blue colouration of the antecubital region with oedematous muscular fascia and focal liquefaction necrosis. Blood and tissue levels were positive for methidathion. Our case report emphasizes the necessity of a detailed crime scene investigation and postmortem examination for the possibility of homicide in such cases. Although injection sites may be the expected results of medical treatment, dermal lesions also may be associated with injections of toxic substances.

Key Words: Homicide • organophosphate insecticide • methidathion • poisoning • autopsy

This version was published on August 1, 2009

Human & Experimental Toxicology, Vol. 28, No. 8, 521-524 (2009)
DOI: 10.1177/0960327109348082
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