A fatal methamphetamine poisoning associated with hyperpyrexia.

After self-administration of 0.05 g of methamphetamine hydrochloride intravenously on three occasions at intervals of 3 h, a 25-year-old female methamphetamine abuser ingested approximately 1.5 g of methamphetamine hydrochloride, and was found dead 3-4 h later. Complete rigor mortis was observed 1-2 h after death and the rectal temperature was 38.4 degrees C 3-4 h after death. Distribution of methamphetamine and amphetamine in the body was analyzed by chemical ionization mass fragmentography. Amphetamine/methamphetamine concentrations (mumol/100 g) were 0.26/28.8 in blood, 0.64/68.2 in brain, 0.96/117.1 in liver, 0.53/50.6 in kidney, and 1.49/1045 in stomach contents. Total amount of methamphetamine hydrochloride in stomach contents was 11.6 mg. Amphetamine in tissues was a metabolite of methamphetamine, and amphetamine in stomach contents resulted from excretion into saliva and gastric mucous excretion. With rectal temperature at death estimated at more than 41 degrees C, it would seem that hyperpyrexia played an important role in causing death from methamphetamine poisoning.