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Medical Examiner Rules Josh Mauro’s Death an Accidental Fentanyl, Cocaine and Alcohol Overdose

The autopsy found cerebral edema, abnormal lung fluid and multiple drugs in his system, linking a reported binge of cocaine and drinking to the fatal intoxication.

Overview

  • The Maricopa County medical examiner concluded that former NFL defensive lineman Josh Mauro died from acute combined fentanyl, cocaine and ethanol intoxication and ruled the manner of death accidental.
  • Phoenix police found Mauro unresponsive at his Arizona home on April 23, 2026, and emergency responders pronounced him dead at the scene.
  • Toxicology showed fentanyl, cocaine, alcohol and their metabolites in Mauro’s system, with additional traces of cannabinoids and caffeine reported in the autopsy files.
  • The medical examiner recorded cerebral edema (brain swelling) and an abnormal buildup of fluid in the lungs, findings consistent with a drug-related fatality, and the report notes a history of cocaine and alcohol abuse.
  • No foul play is suspected and teammates and family have issued condolences, while the case underscores public-health concerns about lethal fentanyl exposure and the high risk of mixing stimulants, opioids and alcohol.