Emerging Infectious Diseases (Jan 2021)

Fatal 3-Nitropropionic Acid Poisoning after Consuming Coconut Water

  • Thomas Birkelund,
  • Rakel F. Johansen,
  • Dorte G. Illum,
  • Stig Eric Dyrskog,
  • Jakob A. Østergaard,
  • Travis M. Falconer,
  • Chris Andersen,
  • Helena Fridholm,
  • Søren Overballe-Petersen,
  • Jørgen S. Jensen

DOI
https://doi.org/10.3201/eid2701.202222
Journal volume & issue
Vol. 27, no. 1
pp. 278 – 280

Abstract

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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.

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