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USA. A 37-year-old woman was found dead on a sofa. Foam cone from nose and mouth. 100 ug/hr Fentanyl patch in her mouth, with pill residue in her stomach. Fentanyl at autopsy was 2.8 ng/ml, within the reported therapeutic range, plus therapeutic levels of Oxycodone and Diazepam.

Fig.1 Foam cone from nose and mouth.

Fig.2 Fentanyl patch in her mouth.

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