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J Clin Forensic Med. 2000 Sep;7(3):144-6. doi: 10.1054/jcfm.2000.0432.

Misleading results of ethanol analysis in urine specimens from rape victims suffering from diabetes.

Journal of clinical forensic medicine

A W Jones, A Eklund, A Helander

Affiliations

  1. Department of Forensic Chemistry, University Hospital, Linköping, Sweden.

PMID: 16083664 DOI: 10.1054/jcfm.2000.0432

Abstract

We report appreciably high concentrations of ethanol (82 and 102 mg/dL) in specimens of urine collected from two victims of date rape. Both girls (aged 15 and 18 years) suffered from diabetes mellitus, but adamantly denied drinking any alcohol before or after the incident. The presence of glycosuria and high risk of fungal infections in female diabetics suggests that ethanol was produced in vitro by fermentation after voiding. Making a routine test for sugar in the urine and ensuring that the sampling tubes contain sufficient sodium or potassium fluoride to inhibit glycolysis are recommended practices. A specific marker for post-sampling synthesis of ethanol might also be used such as the 5HTOL/5HIAA ratio.

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