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Forensic Toxicology
Published in: Forensic Toxicology 2/2020

01-07-2020 | Alkaloids | Case Report

A fatal case of aconite poisoning: accidental intake of a monkshood extract

Authors: Vanessa Hofmann, Aysche Landmann, Georg Schmitt, Astrid Krauskopf, Marc Bartel

Published in: Forensic Toxicology | Issue 2/2020

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Abstract

Purpose

Monkshood is a wild growing plant which contains the very toxic alkaloid aconitine, and is often used in traditional Chinese medicine. In this case report, we describe a fatal accident after the unintentional consumption of an aconite extract.

Method

By applying high-performance liquid chromatography–tandem mass spectrometry, the distribution of the alkaloid aconitine in body fluids and organ tissues has been determined, as well as the concentration of the extract taken from the confiscated bottle.

Results

The concentration of aconitine in peripheral blood of the deceased was 19 ng/mL; the highest concentration in organ tissue was found in the liver specimen, which revealed a content of 205 ng/g, followed by the kidneys, lungs, muscle and the brain. Moreover, aconitine contents of the blossoms, roots and leaves of a wild growing monkshood were determined. The plant extract itself showed a high concentration (628 mg/L) of the alkaloid.

Conclusion

The present case report emphasizes the danger of aconite extracts and presents results of the distribution of the alkaloid in the human body.
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Metadata
Title
A fatal case of aconite poisoning: accidental intake of a monkshood extract
Authors
Vanessa Hofmann
Aysche Landmann
Georg Schmitt
Astrid Krauskopf
Marc Bartel
Publication date
01-07-2020
Publisher
Springer Singapore
Published in
Forensic Toxicology / Issue 2/2020
Print ISSN: 1860-8965
Electronic ISSN: 1860-8973
DOI
https://doi.org/10.1007/s11419-020-00526-x

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