A rare case of death due to benzhexol toxicity is reported in a 48-yea
r-old schizophrenic male with a resolving empyema and underlying patch
y, mild bronchopneumonia. Toxicological analysis revealed the benzhexo
l blood and liver concentrations to be 0.12 mg/l and 0.5 mg/kg, respec
tively. Gastric contents contained 0.4 mg of benzhexol. Other drugs we
re not detected. It is suggested that for fatalities to occur followin
g benzhexol intoxication, secondary contributory factors, which probab
ly further alter the patient's conscious state, are necessary.