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Originally Posted by RichardG
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I've been following this story closely so I'm glad you posted this.
Although the coroner couldn't do an autopsy, it was noted that they could find no outward signs of torture. The coroner thought it was probable that Otto got an infection like pneumonia which turned to sepsis. It was also noted that the change of drugs after he was moved back to the US could have directly resulted in his death. There is though, a possibility that Otto suffered asphyxiation starving his brain of oxygen.
Unfortunately, we will never know.