Suicide case due to phosphoric acid ingestion: case report and review of literature.

Isabella Aquila, Francesca Pepe, Ciro Di Nunzio, Francesco Ausania, Arianna Serra, Pietrantonio Ricci

Journal: Journal of forensic sciences 2016;59(6):1665-7

PMID: 25331575

Abstract

Ingesting caustic substances represents a common event which may result in serious injuries of the gastrointestinal system. Severity of injury depends on the type of ingested substance: Caustic burns are more frequently associated with acid ingestion and their severity depends on type, concentration, time of exposure, and amount of the ingested substance. We report a case of phosphoric acid ingestion leading to death in a patient with depressive disorder. While reports ingestion of other acids and organophosphates can be found in the literature, there are no reports detailing a death due to phosphoric acid ingestion. We hope that presenting the findings in this case can aid death investigators in future cases that may involve ingestion of such a substance. After autopsy pH, phosphate and calcium ions concentration in the blood were analyzed. The cause of death was due to systemic effects: metabolic acidosis, hypophosphatemia, hypocalcemia, and hyperkalemia.

© 2014 American Academy of Forensic Sciences.

Address: Chair of Legal Medicine, University "Magna Graecia" of Catanzaro, Viale Europa loc. Germaneto, 88100, Catanzaro, Italy.
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