Investigation of a suspicious death became confused when apparently co
ntradictory findings arose on examination of the body. Subsequent iden
tification of amphetamine abuse including PMA resolved these issues. T
he reported case highlights some atypical features which may cause dif
ficulty in this small but increasing group of deaths. Three rapid deat
hs attributed to PMA have been identified in Adelaide in the 12 months
before June 1996.