Kelly Mills, Butch Huston*, Victor Froloff and Michael McGee
Department of Forensic Science, Ramsey County Medical Examiner’s Office, USAFulltext PDF
Acetyl fentanyl is a recent synthetic drug of recreation that little is known in values to ascribe cause of death. A young female while at work took a break and was subsequently found in the locked bathroom with a syringe in her arm. She was taken to the hospital and died shortly after arrival. Toxicology blood screening was performed and was negative for drugs of abuse and chromatography was negative. Drug testing of residual fluid in the syringe revealed the substance to be acetyl fentanyl. Blood quantitation for acetyl fentanyl was positive at 180 ng/ml. The cause of death was certified as acute acetyl fentanyl toxicity and the manner of death was certified as accident. To our knowledge this is the lowest fatal level that has been reported in the literature where acetyl fentanyl is the only drug identified.
Mills K, Huston B, Froloff V, McGee M. Acetyl Fentanyl: Acute Toxicity Case Report. J Forensic Sci Toxicol. 2019;2(1):1006.