TABLE 2. Serum and urine toxicology test results for 12 patients with fentanyl overdose — Yale New Haven Hospital, New Haven, Connecticut, June 23, 2016.
| Patient | Serum levels (ng/mL) |
Other substances detected |
||||
|---|---|---|---|---|---|---|
| Fentanyl | Cocaine | BE | Levamisole | Serum | Urine | |
| A |
—* |
— |
— |
— |
— |
— |
| B |
0.9 |
Not detected |
1 |
1 |
BE, cotinine, levamisole, norfentanyl |
Specimen not available |
| C |
0.5 |
0 |
65 |
13 |
BE, cotinine, levamisole, norfentanyl, THC-COOH |
BE, cocaethylene, cocaine, cotinine, EME, levamisole, lidocaine, naloxone, nicotine, norcocaine, norfentanyl |
| D |
0.6 |
0 |
1 |
1 |
BE, cotinine, levamisole, norfentanyl, THC-COOH |
BE, cocaethylene, cocaine, EME, ethylone, hydrocodone, levamisole, naloxone, norfentanyl, THC-COOH |
| E† |
11 |
Not detected |
Not detected |
— |
Ethanol |
— |
| F |
4.6 |
2 |
15 |
2 |
BE, cocaethylene, cocaine, cotinine, hydroxyzine, levamisole, naloxone, norfentanyl |
BE, EME, cocaethylene, cocaine, cotinine, hydroxyzine, levamisole, naloxone, norfentanyl |
| G |
2.3 |
1 |
63 |
4 |
Acetaminophen, BE, cocaine, cotinine, levamisole, midazolam, norfentanyl, THC-COOH |
α-hydroxymidazolan, acetaminophen, BE, cocaine, cotinine, EME, levamisole, midazolam, naloxone, norcocaine, norfentanyl |
| H |
1.9 |
26 |
144 |
5 |
Acetaminophen, BE, cocaethylene, cocaine, cotinine, levamisole, naloxone, norfentanyl |
Acetaminophen, BE, cocaine, cotinine, EME, hydroxyzine, levamisole, naloxone, nicotine, norcocaine, norfentanyl |
| I† |
13 |
79 |
680 |
— |
Cocaethylene, ethanol |
— |
| J |
3 |
26 |
68 |
6 |
BE, cocaine, cotinine, levamisole, naloxone, norfentanyl, tramadol |
BE, cocaine, cotinine, EME, desmethyltramadol, levamisole, naloxone, norcocaine, norfentanyl, tramadol |
| K§ |
9.5 |
3 |
172 |
2 |
BE, cocaine, levamisole, naloxone, norfentanyl, THC-COOH |
BE, cocaine, EME, levamisole, norcocaine, norfentanyl |
| L | 3.6 | 4 | 712 | 64 | BE, cocaethylene, cocaine, cotinine, hydroxyzine, levamisole, lidocaine, naloxone, norfentanyl | BE, cocaethylene, cocaine, cotinine, EME, hydroxyzine, levamisole, lidocaine, naloxone, norfentanyl |
Abbreviations: BE = benzoylecgonine; EME = ecgonine methylester; THC-COOH = 11-nor-9-carboxy- tetrahydrocannabinol.
*Test not performed.
† Postmortem specimens collected by medical examiner.
§ Died in intensive care unit.