Suicide is a public health concern worldwide. The methods used worldwide can vary based on geographical context and the ease with which victims can find the means to act on suicidal thoughts. In this context, the recent emergence of an online market for toxic and narcotic substances has increased accessibility to these substances for recreational and suicidal purposes. The presented case concerns a fatal sodium nitrite dose purchased online. The body exhibited the characteristic blue-gray staining of hypostasis, more evident on the neck and the upper third of the posterior surface of the chest, and toxicological analysis revealed methemoglobin levels exceeding 30%. Although there is no standardized analytical procedure, the determination of nitrite in postmortem samples is crucial in these cases. Additionally, nitrite is difficult to detect postmortem because it rapidly turns into sodium nitrate. In the case presented, capillary ion analysis (CIA) with direct UV detection was performed for the qualitative and quantitative determination of nitrite and nitrate in the cadaveric central blood samples. The analytical determination identified the presence of nitrite ions and sodium nitrate, in a concentration of 9515 µmol/L.
Sodium Nitrite-Related Fatalities: Are We Facing a New Trend? Case Report and Literature Review
Pallocci, Margherita
;
2025-01-01
Abstract
Suicide is a public health concern worldwide. The methods used worldwide can vary based on geographical context and the ease with which victims can find the means to act on suicidal thoughts. In this context, the recent emergence of an online market for toxic and narcotic substances has increased accessibility to these substances for recreational and suicidal purposes. The presented case concerns a fatal sodium nitrite dose purchased online. The body exhibited the characteristic blue-gray staining of hypostasis, more evident on the neck and the upper third of the posterior surface of the chest, and toxicological analysis revealed methemoglobin levels exceeding 30%. Although there is no standardized analytical procedure, the determination of nitrite in postmortem samples is crucial in these cases. Additionally, nitrite is difficult to detect postmortem because it rapidly turns into sodium nitrate. In the case presented, capillary ion analysis (CIA) with direct UV detection was performed for the qualitative and quantitative determination of nitrite and nitrate in the cadaveric central blood samples. The analytical determination identified the presence of nitrite ions and sodium nitrate, in a concentration of 9515 µmol/L.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
