Gastrointestinal Hemorrhage from an Internal Jugular Abscess in an Intravenous Drug Addict.Ippolito, Scott F. M.D.; Spitz, Werner U. M.D.American Journal of Forensic Medicine & Pathology: June 1990 International Registry of Unusual Cases: PDF Only Abstract The usual death of a long-time heroin user is described. The significance of this case is that death occurred suddenly and unexpectedly during incarceration. In the United States, such deaths are frequently followed by lawsuits against the prison authorities. Drug abuse can cause death in many varied ways. (C) Lippincott-Raven Publishers.