Toluene abuse as a contributing factor in a case of fatal autoerotic asphyxia

Autoerotic asphyxia is a form of deviant sexual behavior that seeks sexual gratification by means of manipulation with one's own body resulting in asphyxia, and may sometimes turn out to be fatal. Autoerotic fatalities involving autoerotic asphyxia are divided into two groups: typical autoerotic fatalities involve mechanical compression of the neck, chest or abdomen, whereas atypical autoeroticism involves sexual self-stimulation by other means. Cases where asphyxiophilic behavior is accompanied by volatile substance abuse are reported to be rather rare, but may involve a high risk of fatal results. This paper presents a case of accidental atypical autoeroticism involving victim's abuse of toluene, which, combined with asphyxiophilic airway occlusion, led to death. For the sake of comprehensiveness, both a verbal description and a schematic representation of the major metabolic pathways of acute and chronic abuse metabolic markers is provided.

Automated summary

Autoerotic asphyxia is a form of deviant sexual behavior that seeks sexual gratification through manipulation of one's own body, which can lead to asphyxia and sometimes be fatal. This paper presents a case of accidental atypical autoeroticism involving the victim's abuse of toluene combined with asphyxiophilic airway occlusion, resulting in death.