Citation

Birkelund T, Johansen RF, Illum DG, Dyrskog SE, Østergaard JA, Falconer TM, Andersen C, Fridholm H, Overballe-Petersen S, Jensen JS. Emerg. Infect. Dis. 2021; 27(1): 278-280.

Copyright

(Copyright © 2021, National Center for Infectious Diseases, Centers for Disease Control and Prevention)

DOI

10.3201/eid2701.202222

PMID

33350928

Abstract

We describe the fatal course of a patient with initial symptoms of vomiting and nausea who developed symptoms of dystonia, encephalopathy, and coma. The cause of death was poisoning with 3-nitropropionic acid from coconut water spoiled with the fungus Arthrinium saccharicola. We present the clinical findings and forensic analysis.

Language: en

Keywords

poisoning; 3-nitropropionic acid; Arthrinium saccharicola; coconut; fungi