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A young man with an unremarkable medical history suffered a seizure with subsequent cardiorespiratory arrest and severe neurological sequelae after ingesting a blotter. Analysis of a similar blotter and a serum sample obtained 3 h after the event detected lysergic acid diethylamide (LSD) at an amount of 300 µg in the blotter and at a concentration of 4.0 ng/mL (12.4 nmol/L) in the serum. No other drugs were present in concentrations which may confer significant effects. In addition, no individual traits which would make the patient particularly susceptible to adverse LSD effects have subsequently been identified. This suggests that LSD may confer toxic effects in previously healthy individuals. [ABSTRACT FROM AUTHOR]

The article presents a case study of a 27-year-old male with a history of recreational illicit drug use who was found dead at his home, with rectangular white pills found adjacent to his body. The pills, marked "XANAX" and a horizontal "2," were similar to fentanyl-containing counterfeit pills. It explores the toxilogical analysis conducted to his femoral blood and urine samples, along with the analysis of the pills. The hazard posed by fake medicines for potential users is noted.

Two young males were hospitalized with miosis and respiratory dysfunction after exposure to a white powder obtained from a foreign source by mail. A few days later, one of the males was found dead at his home. A serum sample from one of the hospitalized patients and a blood sample from the deceased contained ortho-fluorofentanyl in concentrations of 2.5 and 2.4 ng/mL, respectively. It was concluded that death was caused by ortho-fluorofentanyl. [ABSTRACT FROM AUTHOR]

A letter to the editor is presented regarding the use of synthetic cannabinoids MDMB-CHMICA designer drugs which cause a sudden cardiac death.