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International Journal of Legal Medicine

, Volume 121, Issue 4, pp 303–307 | Cite as

Postmortem distribution of 3,4-methylenedioxy-N,N-dimethyl-amphetamine (MDDM or MDDA) in a fatal MDMA overdose

  • Els A. De Letter
  • Willy E. Lambert
  • Marie-Paule L. A. Bouche
  • Jan A. C. M. Cordonnier
  • Jan F. Van Bocxlaer
  • Michel H. A. Piette
Case Report

Abstract

In this manuscript, a newly identified compound, 3,4-methylenedioxy-N,N-dimethylamphetamine (MDDM or also called MDDA), was quantified. The substance was identified in the biological specimens of a 31-year-old man who died following a massive 3,4-methylenedioxymethamphetamine (MDMA) overdose. In addition, the postmortem distribution of the identified substance in various body fluids and tissues was evaluated. For MDDM quantitation, a formerly reported and validated liquid chromatography tandem mass spectrometry (LC-MS/MS) method was adapted. The following quantitative results of the MDDM quantitation were obtained: Femoral blood, aorta ascendens, and right atrial blood contained 2.5, 21.7, and 11.6 ng MDDM/ml, respectively. In left and right pleural fluid and pericardial fluid, concentrations of 47.0, 21.7, and 31.9 ng/ml, respectively, were found. MDDM levels in urine, bile, and stomach contents were 42.4, 1,101, and 1,113 ng/ml, respectively. MDDM concentrations in lungs, liver, kidney, and left cardiac muscle ranged from 12.8 to 39.8 ng/g, whereas these levels were below the limit of quantitation (< LOQ) in right cardiac and iliopsoas muscle. In conclusion, for the first time, MDDM was unambiguously identified in a fatal MDMA overdose. MDDM was probably present as a synthesis by-product or impurity in the MDMA tablets, which were taken in a huge amount by the victim, or MDDM was ingested separately and prior to the MDMA overdose. A third option, i.e., the eventual formation of MDDM as a result of postmortem methylation of MDMA by formaldehyde, produced by putrefaction processes or during storage under frozen conditions, is also discussed. The MDDM levels, substantiated in various body fluids and tissues, are in line with the distribution established for other amphetamine derivatives and confirm that peripheral blood sampling, such as that of femoral blood, remains the “golden standard”.

Keywords

3,4-Methylenedioxy-N,N-dimethyl-amphetamine MDDM MDDA Postmortem distribution Fatality 

Notes

Acknowledgements

The authors gratefully thank Mrs. Thérèse De Vuyst and Mrs. Isabelle Cornelis for their assistance in preparing the manuscript.

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Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  • Els A. De Letter
    • 1
  • Willy E. Lambert
    • 2
  • Marie-Paule L. A. Bouche
    • 3
  • Jan A. C. M. Cordonnier
    • 4
  • Jan F. Van Bocxlaer
    • 3
  • Michel H. A. Piette
    • 1
  1. 1.Department of Forensic MedicineGhent UniversityGentBelgium
  2. 2.Laboratory of ToxicologyGhent UniversityGentBelgium
  3. 3.Laboratory of Medical Biochemistry and Clinical AnalysisGhent UniversityGentBelgium
  4. 4.Chemiphar NVBruggeBelgium

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