The injection of drugs of abuse causes many millions of deaths each year; deaths are mostly due to fatal overdose and the trauma and infection caused by repeated injections. The scientific literature widely reports cases of infected pseudoaneurysm in injecting drug abusers; however, most of these autopsy cases deal with the rupture of pseudoaneurysm of the femoral artery. We present fatal hemorrhagic shock in a heroin-cocaine abuser subsequent to rupture of pseudoaneurysm of the brachial artery; the man collapsed just before injecting himself with a dose of heroin-cocaine (speedball).
From the *Department of Interdisciplinary Medicine, Institute of Legal Medicine, Policlinico di Bari Hospital, University of Bari, Bari;
†Department of Clinical Experimental Medicine, University of Foggia, Foggia; and
‡Vascular and Endovascular Surgery Unit, Policlinico di Bari Hospital, University of Bari, Bari, Italy.
Manuscript received February 4, 2019; accepted May 16, 2019.
The authors report no conflict of interest.
Human and animal studies and informed consent: The article does not contain any studies with human participants requesting their informed consent.
Reprints: Silvia Trotta, MD, Department of Interdisciplinary Medicine, Institute of Legal Medicine, Policlinico di Bari Hospital, University of Bari, Piazza G. Cesare 11, 70124 Bari, Italy. E-mail: firstname.lastname@example.org.