{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T17:12:15Z","timestamp":1787850735249,"version":"build-2784847793"},"reference-count":15,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2019,5,23]],"date-time":"2019-05-23T00:00:00Z","timestamp":1558569600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Forensic Sciences"],"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Kratom is an herbal product commonly used for its effects which are similar to opioids and stimulants. Few studies demonstrate the dangers and lethality of Kratom, and most fatalities from Kratom involve other abused substances. In the current case report, a 33\u2010year\u2010old white man with a known history of opioid abuse and mental illnesses was found unresponsive in his basement with no obvious signs of trauma. After resuscitative efforts, he was pronounced dead and taken for autopsy evaluation. Blood from the inferior vena cava was analyzed for common abused substances. The laboratory toxicology work\u2010up revealed positive findings of caffeine, cotinine, and naloxone with low levels of \u0394\u20109 tetrahydrocannabinol. However, a marked level of mitragynine at 1.9\u00a0mg\/L was observed, the highest reported to date. Given the facts and evidence, the medical examiner certified the cause of death as \u201cmitragynine toxicity\u201d and the manner of death was classified as an \u201caccident.\u201d<\/jats:p>","DOI":"10.1111\/1556-4029.14082","type":"journal-article","created":{"date-parts":[[2019,5,23]],"date-time":"2019-05-23T18:47:14Z","timestamp":1558637234000},"page":"1933-1935","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Fatality of 33\u2010Year\u2010Old Man Involving Kratom Toxicity"],"prefix":"10.1111","volume":"64","author":[{"given":"Marcus","family":"Matson","sequence":"first","affiliation":[{"name":"Kirksville College of Osteopathic Medicine A.T. Still University 800 West Jefferson Street Kirksville MO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noel","family":"Schenk","sequence":"additional","affiliation":[{"name":"Davis Behavioral Health 934 South Main Street #6 Layton UT"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,5,23]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.7812\/TPP\/17-024"},{"issue":"1","key":"e_1_2_4_3_1","first-page":"27","article-title":"Herbal versus synthetic drugs: beliefs and facts","volume":"4","author":"Karimi A","year":"2015","journal-title":"J Nephropharmacol"},{"key":"e_1_2_4_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2005.05.009"},{"key":"e_1_2_4_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.lfs.2005.04.042"},{"key":"e_1_2_4_6_1","doi-asserted-by":"publisher","DOI":"10.1021\/acs.chemrestox.8b00218"},{"key":"e_1_2_4_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/anatox\/35.1.54"},{"key":"e_1_2_4_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/jat\/bku137"},{"key":"e_1_2_4_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/anatox\/35.4.242"},{"key":"e_1_2_4_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/1556-4029.12009"},{"key":"e_1_2_4_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12016-013-8373-z"},{"key":"e_1_2_4_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00414-015-1279-y"},{"issue":"1","key":"e_1_2_4_13_1","first-page":"49","article-title":"A case report of kratom addiction and withdrawal","volume":"115","author":"Galbis\u2010Reig D","year":"2016","journal-title":"WMJ"},{"key":"e_1_2_4_14_1","doi-asserted-by":"publisher","DOI":"10.36076\/ppj.2017.1.E195"},{"key":"e_1_2_4_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2017.03.007"},{"issue":"12","key":"e_1_2_4_16_1","first-page":"792","article-title":"Pharmacology of kratom: an emerging botanical agent with stimulant, analgesic and opioid\u2010like effects","volume":"112","author":"Prozialeck WC","year":"2012","journal-title":"J Am Osteopath Assoc"}],"container-title":["Journal of Forensic Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2F1556-4029.14082","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1556-4029.14082","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/1556-4029.14082","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1556-4029.14082","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,6]],"date-time":"2023-09-06T10:50:51Z","timestamp":1693997451000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1556-4029.14082"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,5,23]]},"references-count":15,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2019,11]]}},"alternative-id":["10.1111\/1556-4029.14082"],"URL":"https:\/\/doi.org\/10.1111\/1556-4029.14082","archive":["Portico"],"relation":{},"ISSN":["0022-1198","1556-4029"],"issn-type":[{"value":"0022-1198","type":"print"},{"value":"1556-4029","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,5,23]]},"assertion":[{"value":"2019-02-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-04-29","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-05-23","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}