PMID- 11765028 OWN - NLM STAT- MEDLINE DCOM- 20020430 LR - 20221207 IS - 0146-4760 (Print) IS - 0146-4760 (Linking) VI - 25 IP - 8 DP - 2001 Nov-Dec TI - Fatal 4-MTA intoxication: development of a liquid chromatographic-tandem mass spectrometric assay for multiple matrices. PG - 705-10 AB - The case history and toxicological findings of an overdose fatality involving 4-methylthioamphetamine (4-MTA) and 3,4-methylenedioxymethamphetamine (MDMA) are reported along with a description of the analytical method. Detection and quantitation of 4-MTA and MDMA were performed by liquid chromatography-tandem mass spectrometry using phentermine as internal standard. Application of this technique to a variety of matrices allowed an insight in the distribution of 4-MTA. Several blood samples including femoral vein blood (5.23 mg/L), urine (95.5 mg/L), vitreous humor (1.31 mg/L), bile (36.4 mg/L), and numerous tissue samples such as liver (30.8 mg/kg), spleen (4.10 mg/kg), and frontal lobe (31.7 mg/kg) were assayed. These values indicated that 4-MTA could be identified as the cause of this fatality, whereas the concentrations of MDMA, also described, are less important because the concentrations found are lower. This case reports, for the first time, an extensive toxicological analysis of 4-MTA, by which the data presented may shed some light on the distribution of 4-MTA. FAU - Decaestecker, T AU - Decaestecker T AD - Laboratoria voor Medische Biochemie en voor Klinische Analyse, Universiteit Gent, Belgium. FAU - De Letter, E AU - De Letter E FAU - Clauwaert, K AU - Clauwaert K FAU - Bouche, M P AU - Bouche MP FAU - Lambert, W AU - Lambert W FAU - Van Bocxlaer, J AU - Van Bocxlaer J FAU - Piette, M AU - Piette M FAU - Van den Eeckhout, E AU - Van den Eeckhout E FAU - Van Peteghem, C AU - Van Peteghem C FAU - De Leenheer, A AU - De Leenheer A LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - J Anal Toxicol JT - Journal of analytical toxicology JID - 7705085 RN - 0 (Amphetamines) RN - 0 (Hallucinogens) RN - 0 (Serotonin Uptake Inhibitors) RN - 6JP2T8KXTR (4-methylthioamphetamine) RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) SB - IM MH - Adult MH - Amphetamines/analysis/pharmacokinetics/*poisoning MH - Autopsy MH - Chromatography, Liquid MH - *Drug Overdose MH - Fatal Outcome MH - Femoral Vein/chemistry MH - Hallucinogens/analysis/pharmacokinetics/*poisoning MH - Humans MH - Male MH - Mass Spectrometry MH - N-Methyl-3,4-methylenedioxyamphetamine/analysis/pharmacokinetics/*poisoning MH - Selective Serotonin Reuptake Inhibitors/analysis/pharmacokinetics/*poisoning MH - Tissue Distribution MH - Vitreous Body/chemistry EDAT- 2002/01/05 10:00 MHDA- 2002/05/01 10:01 CRDT- 2002/01/05 10:00 PHST- 2002/01/05 10:00 [pubmed] PHST- 2002/05/01 10:01 [medline] PHST- 2002/01/05 10:00 [entrez] AID - 10.1093/jat/25.8.705 [doi] PST - ppublish SO - J Anal Toxicol. 2001 Nov-Dec;25(8):705-10. doi: 10.1093/jat/25.8.705.