Medical examiner: Water, drugs led to Bobbi Kristina's death

Bobbi Kristina Brown died from a combination of alcohol, drugs and drowning - but it's still unclear whether her death was murder, suicide or an accident.

The Fulton County Medical Examiner's Office in Atlanta released a statement Friday morning - on what would have been Bobbi Kristina's 23rd birthday - about her death as it prepares to release the full autopsy report.

According to the statement, Bobbi Kristina died of lobar pneumonia, which was caused by the combination of drugs found in her system, drowning and hypoxic ischemic encephalopathy - a neurological condition resulting from a lack of oxygen to the brain.

Scroll down for full statement and videos

Cause of death: Bobbi Kristina Brown died of a combination of alcohol, drugs and drowning, according to her autopsy. The 22 year old pictured above in 2011 with her mother Whitney Houston  

Cause of death: Bobbi Kristina Brown died of a combination of alcohol, drugs and drowning, according to her autopsy. The 22 year old pictured above in 2011 with her mother Whitney Houston  

Discovery: Bobbi was home with her boyfriend Nick Gordon when she was found unconscious in a bathtub on January 2015. She died in July. Pictured above with Gordon in October 2012 

Discovery: Bobbi was home with her boyfriend Nick Gordon when she was found unconscious in a bathtub on January 2015. She died in July. Pictured above with Gordon in October 2012 

The 22-year-old only daughter of singers Bobby Brown and the late Whitney Houston was found face-down and unresponsive in a bathtub in her suburban Atlanta town home on January  31, 2015, and died in hospice care on July 26 after spending months in a coma. 

Her death was eerily similar to her mother, who drowned in a hotel bathtub after taking cocaine in February 2012. The two are now buried next to each other in the same New Jersey cemetery.

The office says it reviewed medical records, investigative files and other documents to determine how Bobbi Kristina likely died.

The medical examiner's office says marijuana and alcohol were involved in the death, along with medications used for sedation or to treat anxiety.

Bobbi Kristina pictured above being taken by ambulance to the hospital the day she was found unresponsive in her bathtub 

Bobbi Kristina pictured above being taken by ambulance to the hospital the day she was found unresponsive in her bathtub 

History repeating: Bobbi Kristina's mother died in eerily similar circumstances in February 2012. Above, the bathrub where Bobbi Kristina was found unresponsive

History repeating: Bobbi Kristina's mother died in eerily similar circumstances in February 2012. Above, the bathrub where Bobbi Kristina was found unresponsive

Delay: Medical examiners could not determine whether Bobbi Kristina's death was an accident or not, due to the months-long wait between the day she was found unresponsive and her death. Above, a hearse carries the casket of Bobbi Kristina after her funeral service in Alpharetta, Georgia on August 1, 2015  

Delay: Medical examiners could not determine whether Bobbi Kristina's death was an accident or not, due to the months-long wait between the day she was found unresponsive and her death. Above, a hearse carries the casket of Bobbi Kristina after her funeral service in Alpharetta, Georgia on August 1, 2015  

'The drugs involved included marijuana, alcohol (ethanol), benzoylecgonine (a cocaine-related substance), benzodiazepines (medications used for sedation or to treat anxiety), and morphine. 

'It could not be determined from toxicology tests whether the morphine resulted from heroin use.' 

They also said the autopsy alone could not reveal the underlying cause of death because of the long interval between Brown being found unresponsive in the bathtub and her eventual death. 

They also do not say if it was an accident or not - leaving questions about her boyfriend Nick Gordon's possible role in her death up in the air.

Nick Gordon is currently facing a $10million wrongful death lawsuit from his girlfriend's family. Pictured above walking outside his neighborhood in Sanford, Florida in October

Nick Gordon is currently facing a $10million wrongful death lawsuit from his girlfriend's family. Pictured above walking outside his neighborhood in Sanford, Florida in October

Father and daughter: Bobbi Kristina pictured above with her famous father Bobby Brown in a picture posted to the singer's Twitter

Father and daughter: Bobbi Kristina pictured above with her famous father Bobby Brown in a picture posted to the singer's Twitter

Her death was 'clearly not due to natural causes', but they can't tell if it was due to intentional or accidental causes, and the coroner classified the manner of death 'undetermined'. 

Gordon, 20, is currently fighting a $10million wrongful death lawsuit from the Brown family. 

According to the lawsuit, Bobbi Kristina's estate claims that she was drugged 'with a toxic cocktail' and drowned in a tub of cold water by Gordon.

Gordon's lawyers have called the claims 'slanderous and meriless'.

'Nick has been heartbroken and destroyed over the loss of his love and it’s shameful that such baseless allegations have been presented publicly. Nick has engaged civil counsel and intends to defend the lawsuit vigorously and expose it for what it is: a fictitious assault against the person who loved Krissy most,' his lawyer's statement reads.

Gordon has not been charged in his girlfriend's death. 

A judge on Thursday granted a request filed by media organizations to unseal the autopsy. 

FULL STATEMENT FROM THE FULTON COUNTY MEDICAL EXAMINER'S OFFICE

Update on the Death of Bobbi Kristina Brown

The cause of Bobbi Kristina Brown’s death as determined by the Fulton County Medical Examiner is:

Lobar pneumonia

Due to: Hypoxic ischemic encephalopathy, delayed effects

Due to: Immersion of face in water complicating mixed drug intoxication

The underlying cause of death is the condition which starts the downhill course of events leading to death and in this case is the immersion associated with drug intoxication. The pneumonia and encephalopathy are more immediate causes which resulted from the immersion and drug intoxication.

The autopsy alone could not reveal the underlying cause of death because of the long interval between Ms. Brown being found unresponsive in the bathtub and her eventual death. Thus, the underlying cause of death is based substantially on review of medical records, the results of toxicology tests, investigative records, and the fact that the autopsy did not show any other likely underlying cause of death or reason for Ms. Brown becoming unresponsive.

The drugs involved included marijuana, alcohol (ethanol), benzoylecgonine (a cocaine-related substance), benzodiazepines (medications used for sedation or to treat anxiety), and morphine. It could not be determined from toxicology tests whether the morphine resulted from heroin use.

The other question which arises is manner of death. In other words, did death result from natural causes such as disease, an intentional act such as suicide or homicide, an unintentional cause (accident), or in an undetermined manner when a more specific manner of death cannot be established. Death was clearly not due to natural causes, but the medical examiner has not been able to determine whether death was due to intentional or accidental causes, and has therefore classified the manner of death as Undetermined .

The Roswell Police Department and the Fulton County District Attorney have been provided with the Medical Examiner’s findings. No further information will be available from the Medical Examiner’s Office at this time.

Fulton County Medical Examiner

Posted March 4, 2016

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