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A top plastic surgeon has been accused of killing a lover with cocaine after sprinkling it on his PENIS before she performed a sex act on him.

Andreas Niderbichler, 42, has been arrested after a woman, 38, reportedly collapsed and died after performing oral sex on him at his home in hospital grounds.

Police are now probing claims he gave three more women the drug - who reportedly suffered no side serious effects - during sexual encounters.

Police believe he sprinkled the drug on his penis beforehand, local media report.

As a plastic and reconstructive surgery expert he practiced nationwide and detectives say there may be many more victims.

(Image: Google)

Mr Niderbichler was appointed head doctor in his field at the Harzer Clinic in the German state of Saxony-Anhalt in 2016.

But his superiors did not know was that he used an online dating site to meet women for sex, police said.

Prosecutors say a 38-year-old woman was involved in consensual oral sex with the doctor on February 20 when she collapsed at his home in Halberstadt, which is within clinic grounds.

She was raced to hospital in an ambulance but died soon after being admitted, according to authorities.

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(Image: Bristol Post WS)

Prosecutors say he gave her cocaine without her knowing about it.

He is charged with bodily harm leading to death.

Chief prosecutor Hal Roggenbuck said: “The victims who have been heard so far have all indicated that they have been ill at the meetings.

“All of them showed reactions due to the use of narcotics.”

The women all said they willingly performed oral sex on him, prosecutors said.

The suspect is reportedly not in prison but in a secure drug dependency unit where he is undergoing treatment for addiction.