Academic Forensic Pathology最新文献_第3页

Frothing in a Case of Electrocution: A Rare Case and Review of Literature 电击病例中的泡沫：罕见病例与文献综述

Academic Forensic Pathology Pub Date : 2023-12-18 DOI: 10.1177/19253621231218031

Sahil Thakral, Sarthak Aeron, P. Setia

{"title":"Frothing in a Case of Electrocution: A Rare Case and Review of Literature","authors":"Sahil Thakral, Sarthak Aeron, P. Setia","doi":"10.1177/19253621231218031","DOIUrl":"https://doi.org/10.1177/19253621231218031","url":null,"abstract":"Electrocution is a leading cause of unnatural deaths, especially in industrial and developing regions like India. In a recent case, an individual was brought in for autopsy following an apparent accidental electrocution. Strikingly, the postmortem examination revealed no typical entry or exit wounds associated with electric shocks. The body exhibited rigor mortis and a unique sign: reddish froth draining from the nasal cavities. Internal examination unveiled distinctive findings. Multiple tiny hemorrhages were observed over the heart’s left ventricle, while the heart’s blood vessels and valves remained unobstructed. In contrast, the lungs showed a frothy, whitish-red appearance extending into the bronchioles. This case presents an unprecedented observation: the presence of froth in the respiratory tract during electrocution. This case underscores the need for thorough autopsies. Even when specific indicators are absent, it highlights the importance of considering electrocution when froth is found in the respiratory tract. Such cases remind forensic pathologists of the diverse and occasionally unexpected manifestations they may encounter, encouraging the exploration of new phenomena within forensic medicine.","PeriodicalId":36813,"journal":{"name":"Academic Forensic Pathology","volume":"229 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138995095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Myocardial Calcification: An Unusual Complication of Remote Trauma With Coidentified Amyloidosis 心肌钙化：伴有淀粉样变性的远端创伤的异常并发症

Academic Forensic Pathology Pub Date : 2023-12-13 DOI: 10.1177/19253621231217775

Z. A. Wilkinson, Alison R. Krywanczyk

引用次数: 0

Dissemination of Reactivated Coccidioidomycosis Inducing Diffuse Alveolar Damage: A Rare Autopsy Case Report 诱发弥漫性肺泡损伤的再活化球孢子菌病扩散：罕见尸检病例报告

Academic Forensic Pathology Pub Date : 2023-12-12 DOI: 10.1177/19253621231217765

Pelin Onur, Ozlem Fidan-Ozbilgin

引用次数: 0

Evaluating the Reliability of Dipstick Drug Screens on Vitreous and Postmortem Blood as a Triage Modality in Forensic Pathology. 滴管式药物筛查作为法医病理学分型方式的可靠性评价

Academic Forensic Pathology Pub Date : 2023-12-01 Epub Date: 2023-08-08 DOI: 10.1177/19253621231190415

Lorenzo Gitto, Mojde Mir, Ponni Arunkumar

{"title":"Evaluating the Reliability of Dipstick Drug Screens on Vitreous and Postmortem Blood as a Triage Modality in Forensic Pathology.","authors":"Lorenzo Gitto, Mojde Mir, Ponni Arunkumar","doi":"10.1177/19253621231190415","DOIUrl":"10.1177/19253621231190415","url":null,"abstract":"Dipstick drug screens are cheap, easy to use, and quick presumptive tests to detect common drugs of abuse. Dipsticks are designed for drug detection in urine. There is no literature regarding their potential use on fluids different from urine. The study aimed to determine the performance of dipstick screening tests on postmortem vitreous and blood specimens compared to urine dipsticks and final confirmatory toxicology analyses on blood. The study population included cases in which a complete toxicology analysis was performed. Each subject was screened for three substances: cocaine, fentanyl, and opiates. Dipstick results were checked by visual inspection. Results were compared with urine screening tests and quantitative, confirmatory toxicological analyses by gas chromatography/mass spectrometry on postmortem blood samples as the gold standards for screening and confirmatory analysis, respectively. There was a high number of false-negative results for opiates. Cocaine dipsticks in blood showed the highest reliability. Fentanyl dipsticks in vitreous showed a high number of false-negative results. Both vitreous and blood dipstick screening tests for all substances performed well on negative cases. When both blood and vitreous screening tests are negative, the chance that the confirmatory toxicology analysis will be positive is very low.","PeriodicalId":36813,"journal":{"name":"Academic Forensic Pathology","volume":"1 1","pages":"92-100"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10825466/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42997104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Infective Endocarditis in an Intravenous Drug User Leading to Myocardial Rupture and Hemopericardium 一名静脉注射吸毒者感染性心内膜炎导致心肌破裂和血心包积液

Academic Forensic Pathology Pub Date : 2023-12-01 DOI: 10.1177/19253621231214442

Cathy Cao, J. Herath

{"title":"Infective Endocarditis in an Intravenous Drug User Leading to Myocardial Rupture and Hemopericardium","authors":"Cathy Cao, J. Herath","doi":"10.1177/19253621231214442","DOIUrl":"https://doi.org/10.1177/19253621231214442","url":null,"abstract":"Introduction: Infective endocarditis (IE) is an infectious disorder of the innermost lining of the heart that can be fatal if left untreated. Infective endocarditis can spread beyond the endocardium into the myocardium and cause arrhythmias and myocardial wall rupture. Individuals with a history of intravenous drug use are at increased risk of developing IE and are at higher risk of dying, given their limited access to health care and adherence to treatment. Methods: A medicolegal autopsy was performed on a 30-year-old woman with a history of intravenous drug use and recent assault after a hospital admission during which she did not survive resuscitation. Results: The cause of death was found to be myocardial rupture in the setting of transmural IE. Postmortem imaging showed hemopericardium which was identified grossly with valvular vegetations in the heart. A ventricular wall defect along with transmural abscess formation was identified. Perimortem toxicology was positive for fentanyl, methamphetamine, and benzoylecgonine, a metabolite of cocaine. Postmortem blood cultures were positive for coagulase-negative Staphylococci, Staphylococcus aureus, Candida tropicalis, and Viridians group Streptococci. Postmortem tissue cultures taken from the heart was positive for Candida glabrata and Streptococcus mitis. Discussion: The decedent had significant risk factors for IE, such as intravenous drug use and a prior admission to hospital for IE. The organisms identified on culture are in-keeping with the gross findings of IE and the terminal event of myocardial rupture was likely the result of tissue damage resulting from IE.","PeriodicalId":36813,"journal":{"name":"Academic Forensic Pathology","volume":"529 1","pages":"101 - 109"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138993046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Complexity of “Natural” Deaths Behind Bars 狱中 "自然 "死亡的复杂性

Academic Forensic Pathology Pub Date : 2023-11-27 DOI: 10.1177/19253621231211952

Nicholas Shapiro, Nona Bhatia, Katherine LeMasters, Rachel Smith, Andrea Armstrong

引用次数: 0

A Case of Fatal Non-Clostridial Gas Gangrene Following Intramuscular Injection: A Diagnostic Challenge and Dilemma at Autopsy 一例肌肉注射后致命的非膀胱气性坏疽病例：尸检时的诊断难题和两难选择

Academic Forensic Pathology Pub Date : 2023-11-26 DOI: 10.1177/19253621231212951

Siddhartha Das, N. Ramaswamy, K. Sathish

{"title":"A Case of Fatal Non-Clostridial Gas Gangrene Following Intramuscular Injection: A Diagnostic Challenge and Dilemma at Autopsy","authors":"Siddhartha Das, N. Ramaswamy, K. Sathish","doi":"10.1177/19253621231212951","DOIUrl":"https://doi.org/10.1177/19253621231212951","url":null,"abstract":"Introduction: Gas Gangrene following intramuscular injection is a rare but serious condition that can lead to morbidity and mortality. This case conveys a severe and fatal complication following intramuscular injections of diclofenac and vitamin B12 in a diabetic patient. Case Report: The patient developed pain and swelling in the left buttock after the injection of vitamin B12 and Diclofenac one on each buttock which worsened over time. He was diagnosed with gas gangrene when he presented to the emergency department. The blood culture identified Klebsiella pneumonia. The patient’s condition rapidly deteriorated, leading to sepsis and acute kidney injury. Despite intensive care management, the patient succumbed five days after admission. At autopsy, gas gangrene of the left lower limb was evident on external examination. Histopathological examination confirmed the acute tubular damage in the kidney and the postmortem blood culture also grew Klebsiella pneumonia and Enterobacter cloacae. The cause of death was determined to be acute tubular necrosis as a result of sepsis due to non-clostridial gas gangrene. Conclusion: This instance of gas gangrene following trivial trauma poses a challenge for the forensic pathologist in establishing the causal association and in determining the causative organism. These are important when medical/surgical intervention is in question to be the cause of a fatal infection like gas gangrene. Ante-mortem/postmortem blood culture can aid in defining the causative organism of gas gangrene but the causal association with the alleged trauma/insult is still a challenge at autopsy. This case report addresses and tries to overcome the diagnostic challenges and dilemmas at autopsy in a case of gas gangrene.","PeriodicalId":36813,"journal":{"name":"Academic Forensic Pathology","volume":"32 1","pages":"116 - 121"},"PeriodicalIF":0.0,"publicationDate":"2023-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139235948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Investigation of an Accident Site With an Atypical Electrocution Exit Wound and Burn in an Unusual Location: A Rare Case Report and Review of Literature 对一处事故现场的调查，该事故现场的非典型电击出口伤和烧伤位于一个不寻常的位置：罕见病例报告与文献综述

Academic Forensic Pathology Pub Date : 2023-11-26 DOI: 10.1177/19253621231214293

Deepu Mathew, Sahil Thakral, P. Setia

引用次数: 0

The Goudge Inquiry and Forensic Pathology in Canada. 加拿大的古奇调查和法医病理学。

Academic Forensic Pathology Pub Date : 2023-06-01 Epub Date: 2023-05-10 DOI: 10.1177/19253621231167016

Christopher M Milroy

{"title":"The Goudge Inquiry and Forensic Pathology in Canada.","authors":"Christopher M Milroy","doi":"10.1177/19253621231167016","DOIUrl":"10.1177/19253621231167016","url":null,"abstract":"Aims: This article analyses the effects of The Inquiry into Pediatric Forensic Pathology in Ontario, commonly known as the Goudge Inquiry, and its effects upon forensic pathology in Canada.Methods: The Goudge Inquiry was a Government of Ontario public inquiry that examined the delivery of pediatric forensic pathology services to the Ontario Coroner's Office and the Canadian criminal justice system. The inquiry was conducted by Mr. Justice Goudge, a court of Appeal Judge and made substantial recommendations of improving forensic pathology in a Coroner system and its role in delivering evidence to the criminal justice system. This article reviews the inquiry and discusses the effect of the inquiry on the development of forensic pathology in Canada and academic literature about the inquiry.Results: The Inquiry has had important effects on the role of all expert witnesses in the courts and is the most substantial examination of forensic pathology by any judicial inquiry.Conclusions: The Goudge Inquiry has been considered a significant success, being described as transformative.","PeriodicalId":36813,"journal":{"name":"Academic Forensic Pathology","volume":"13 2","pages":"61-72"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10338733/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10202755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Generalized Eosinophilia Following Moderna COVID-19 Vaccine Administration: Comment. 接种 Moderna COVID-19 疫苗后出现全身嗜酸性粒细胞增多：评论。

Academic Forensic Pathology Pub Date : 2023-06-01 Epub Date: 2023-06-29 DOI: 10.1177/19253621231184613

Amnuay Kleebayoon, Viroj Wiwanitkit

引用次数: 0