{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T13:22:28Z","timestamp":1789564948725,"version":"build-2803163510"},"reference-count":42,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2015,8,21]],"date-time":"2015-08-21T00:00:00Z","timestamp":1440115200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Forensic Sciences"],"published-print":{"date-parts":[[2015,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Excited delirium denotes a life\u2010threatening medical condition characterized by the acute onset of agitated and violent behavior that often results in a sudden and unexplained death. Cocaine\u2010induced excited delirium refers to fatal cocaine intoxication with the following symptoms occurring sequentially: hyperthermia, delirium with agitation, respiratory arrest, and death. We present a case of cocaine\u2010induced excited delirium in a cocaine \u201cbody packer\u201d or a \u201cmule\u201d, specifically an individual who attempts to smuggle cocaine within the body. Investigators at the scene initially suspected homicide due to the victim's sharp and blunt force injuries. Three rubber packets containing cocaine were removed from the victim's rectum. Blood toxicological analysis revealed an alcohol concentration of 0.016\u00a0g\/100 and cocaine &gt;1\u00a0mg\/L. The forensic pathologist should consider cocaine\u2010induced excited delirium when an individual exhibits aggressive behavior, unexpected strength, and resistance to pain who dies suddenly. Further analysis should be performed during the scene investigation and autopsy for evidence of body packing.<\/jats:p>","DOI":"10.1111\/1556-4029.12860","type":"journal-article","created":{"date-parts":[[2015,8,21]],"date-time":"2015-08-21T06:28:48Z","timestamp":1440138528000},"page":"1647-1651","source":"Crossref","is-referenced-by-count":46,"title":["Sudden Death Due To Acute Cocaine Toxicity\u2014Excited Delirium in a Body Packer"],"prefix":"10.1111","volume":"60","author":[{"given":"Lisa B. E.","family":"Shields","sequence":"first","affiliation":[{"name":"Norton Neuroscience Institute Norton Healthcare 210 East Gray Street Suite 1102 Louisville KY 40202"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristin M.","family":"Rolf","sequence":"additional","affiliation":[{"name":"State Medical Examiner Office 5455 Dr. Martin Luther King Ave. Anchorage Alaska 99507"},{"name":"Office of the Associate Chief Medical Examiner KY Justice and Public Safety Cabinet 100 Sower Blvd Ste 202 Frankfort KY 40601\u20108272"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"III","given":"John C.","family":"Hunsaker","sequence":"additional","affiliation":[{"name":"Office of the Associate Chief Medical Examiner KY Justice and Public Safety Cabinet 100 Sower Blvd Ste 202 Frankfort KY 40601\u20108272"},{"name":"Department of Pathology and Laboratory Medicine University of Kentucky College of Medicine 100 Sower Blvd, Ste 202, Frankfort Lexington KY 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