{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T17:41:40Z","timestamp":1785606100987,"version":"3.56.0"},"reference-count":21,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,8,2]],"date-time":"2017-08-02T00:00:00Z","timestamp":1501632000000},"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":[[2018,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>A 19\u2010year\u2010old woman with insulin\u2010dependent diabetes mellitus was found dead in bed having allegedly recently taken ecstasy and consumed alcohol. At autopsy, there were microhemorrhages in the brain with subnuclear vacuolization and Armanni\u2013Ebstein changes in renal tubules. Biochemical analyses confirmed diabetic ketoacidosis (vitreous glucose\u201446.5\u00a0mmol\/L; \u03b2\u2010OH butyrate\u201413.86\u00a0mmol\/L.). Toxicological analyses of blood showed a low level of 3,4\u2010methylenedioxy\u2010methamphetamine (<jats:styled-content style=\"fixed-case\">MDMA<\/jats:styled-content>) (0.01\u00a0mg\/L), with acetone but no alcohol or other common drugs. Death was attributed to diabetic ketoacidosis most likely provoked by mixed <jats:styled-content style=\"fixed-case\">MDMA<\/jats:styled-content>\/alcohol ingestion. Although the use of illicit drugs by young individuals with diabetes mellitus is being increasingly recognized, it has been noted that there is minimal information about the relationship between drug use and acute diabetic complications. Toxicological screening of cases of lethal diabetic ketoacidosis in the young may clarify lethal mechanisms in individual cases and also help to determine the extent of this problem.<\/jats:p>","DOI":"10.1111\/1556-4029.13602","type":"journal-article","created":{"date-parts":[[2017,8,2]],"date-time":"2017-08-02T10:22:02Z","timestamp":1501669322000},"page":"939-941","source":"Crossref","is-referenced-by-count":10,"title":["Fatal Diabetic Ketoacidosis\u2014A Potential Complication of <scp>MDMA<\/scp> (Ecstasy) Use"],"prefix":"10.1111","volume":"63","author":[{"given":"John D.","family":"Gilbert","sequence":"first","affiliation":[{"name":"Forensic Science SA 21 Divett Place Adelaide 5000 Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roger W.","family":"Byard","sequence":"additional","affiliation":[{"name":"Forensic Science SA 21 Divett Place Adelaide 5000 Australia"},{"name":"School of Medicine The University of Adelaide Frome Rd Adelaide 5005 Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,8,2]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.1258\/rsmmsl.46.1.81"},{"key":"e_1_2_4_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.legalmed.2009.09.003"},{"key":"e_1_2_4_4_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-5491.2003.01092.x"},{"key":"e_1_2_4_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1096-9136(199610)13:10<908::AID-DIA249>3.0.CO;2-M"},{"key":"e_1_2_4_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/1556-4029.12102"},{"key":"e_1_2_4_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/1556-4029.12711"},{"key":"e_1_2_4_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1556-4029.2012.02274.x"},{"key":"e_1_2_4_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jflm.2010.10.003"},{"key":"e_1_2_4_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jflm.2012.07.007"},{"key":"e_1_2_4_11_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc06-9909"},{"key":"e_1_2_4_12_1","doi-asserted-by":"publisher","DOI":"10.4061\/2011\/219706"},{"key":"e_1_2_4_13_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2007-0366"},{"key":"e_1_2_4_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2009.04.057"},{"key":"e_1_2_4_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0167-5273(03)00162-1"},{"key":"e_1_2_4_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2009.05.001"},{"key":"e_1_2_4_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.forsciint.2004.09.084"},{"key":"e_1_2_4_18_1","doi-asserted-by":"publisher","DOI":"10.1081\/CLT-120019130"},{"key":"e_1_2_4_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00592-010-0243-z"},{"key":"e_1_2_4_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/0197-0070(91)90033-I"},{"key":"e_1_2_4_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-5994.2011.02653.x"},{"key":"e_1_2_4_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/pedi.12496"}],"container-title":["Journal of Forensic Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2F1556-4029.13602","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1556-4029.13602","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,20]],"date-time":"2023-08-20T05:33:09Z","timestamp":1692509589000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1556-4029.13602"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,8,2]]},"references-count":21,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2018,5]]}},"alternative-id":["10.1111\/1556-4029.13602"],"URL":"https:\/\/doi.org\/10.1111\/1556-4029.13602","archive":["Portico"],"relation":{},"ISSN":["0022-1198","1556-4029"],"issn-type":[{"value":"0022-1198","type":"print"},{"value":"1556-4029","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,8,2]]}}}