Sunanda Pushkar died of poisoning. That is what an AIIMS medical board has said in its latest report dated January 1, 2016. The report has been handed over to the SIT.
The 11 page report along with 4 annexures clearly states, "The Medical Board unanimously conclude that the cause of death in this case is poisoning. The circumstantial recovery of empty Alprax Tablets (27 tablets) and report of the FBI which shows the presence of Alprax in stomach and its contents, spleen, liver section, half of each kidney, blood sample, as well as urine wet clothing, bed cover and bed sheet confirmed the death is due to excessive ingestion of Tablet Alprazolam."
The report further states that the "Medical Board does not rule out any injectable poison in view of Injury no 10 which is an injection prick mark and the same has been subsequently clarified by KIMS Hospital as well as the confirmation of lidocaine in FBI report, an anti-arrhythmic drug of heart... The dozens of unexplained injuries including teeth bite mark are suggestive of active scuffle prior to death."
In its report, the Board has also asked the Special Investigation Team to investigate whether someone with access to either "insulin or hypoglycemic agent" was present near the Leela Palace hotel, where Sunanda died, on January 17, 2014. The Board states, "SIT should investigate thoroughly if any person in the vicinity and in access of insulin/hypoglycaemic agent was there, as there was presence of injection mark over body of deceased (Injury no 10)."
The Medical Board's conclusion comes on the basis of the an FBI's report on Sunanda's viscera samples. In its report, the FBI states having found the presence of lidocaine, an antiarrhythmic drug of the heart which may cause fatality if administered intravenously. At the same time the Board rubbished an email claiming Sunanda had lupus and was consulting a doctor in Dubai for the same. The Board stated that it was a "desperate effort to mislead the investigation by a doctor who is not even a specialist of lupus and merely a child specialist."