American Journal of Forensic Medicine and Pathology最新文献

Mast Cell Degranulation as a Histopathologic Marker in Fatal Anaphylaxis: An Illustrated Case of Vespidae Envenomation. 肥大细胞脱颗粒作为致死性过敏反应的组织病理学标记：一个蜘蛛中毒的例子。

IF 0.8 4区医学

American Journal of Forensic Medicine and Pathology Pub Date : 2025-07-31 DOI: 10.1097/PAF.0000000000001064

Nuha Mahmood, Rachel Martindale, Jared Brooks

引用次数: 0

Bladder Wash as an Alternative Postmortem Toxicology Specimen: Forensic Pathologists' Perspectives. 膀胱冲洗作为另一种死后毒理学标本：法医病理学家的观点。

IF 1 4区医学

American Journal of Forensic Medicine and Pathology Pub Date : 2025-07-24 DOI: 10.1097/PAF.0000000000001034

Luke N Rodda, Kylie E Candela, Amy P Hart, Ellen G Moffatt, Sue Pearring, Karen S Scott

{"title":"Bladder Wash as an Alternative Postmortem Toxicology Specimen: Forensic Pathologists' Perspectives.","authors":"Luke N Rodda, Kylie E Candela, Amy P Hart, Ellen G Moffatt, Sue Pearring, Karen S Scott","doi":"10.1097/PAF.0000000000001034","DOIUrl":"10.1097/PAF.0000000000001034","url":null,"abstract":"Abstract: In postmortem forensic investigations, where the bladder is voided or dehydrated prior to autopsy, it is possible to wash the bladder with saline to collect the resulting \"bladder wash\" and any residual urine for toxicological analysis. Although this method is not yet commonplace or standard, a recent study has demonstrated that bladder wash is an effective alternative specimen in postmortem forensic toxicology. The current study aimed to assess forensic pathologists' opinions on the use of bladder wash samples both before and after reviewing bladder wash toxicological data. An online survey was distributed to forensic pathologists from NAME, and responses were analyzed to identify any shifts in perceptions after data presentation. The findings revealed that most forensic pathologists recognized the benefits of bladder wash collection and analysis as well as its usefulness in determining the cause and manner of death, with noticeable changes in perspective following exposure to supporting data. This study highlights the potential value of standardizing the easy and accessible collection of bladder wash for postmortem toxicological analysis, thereby providing forensic pathologists with invaluable information when other biological specimens are unavailable.","PeriodicalId":55535,"journal":{"name":"American Journal of Forensic Medicine and Pathology","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Fatal Right Ventricular Perforation Caused by Guidewire During Adult Central Venous Catheter Placement. 成人中心静脉置管时导丝致致致命的右心室穿孔。

IF 1 4区医学

American Journal of Forensic Medicine and Pathology Pub Date : 2025-07-11 DOI: 10.1097/PAF.0000000000001063

Caterina Pesaresi, Beatrice Benedetti, Francesca M D'Ascenzo, Giulia D'Amati, Fabio De-Giorgio

引用次数: 0

Sim X DefenseCore Ammunition: Structural Composition, Radiologic Features, Ballistics, and Autopsy Findings. Sim X防御核心弹药：结构组成、放射特征、弹道和尸检结果。

IF 1 4区医学

American Journal of Forensic Medicine and Pathology Pub Date : 2025-07-08 DOI: 10.1097/PAF.0000000000001062

Lorenzo Gitto, Meredith A Reynolds

引用次数: 0

Trends in Publication Outcomes of Platform Presentations at National Association of Medical Examiners (NAME) Annual Meetings From 2013 to 2022. 2013年至2022年全国医学检验医师协会（NAME）年会上平台演讲的发表结果趋势

IF 1 4区医学

American Journal of Forensic Medicine and Pathology Pub Date : 2025-07-07 DOI: 10.1097/PAF.0000000000001061

Elizabeth Lee, Daniel Atherton

{"title":"Trends in Publication Outcomes of Platform Presentations at National Association of Medical Examiners (NAME) Annual Meetings From 2013 to 2022.","authors":"Elizabeth Lee, Daniel Atherton","doi":"10.1097/PAF.0000000000001061","DOIUrl":"https://doi.org/10.1097/PAF.0000000000001061","url":null,"abstract":"The NAME annual meeting focuses on platform presentations as a means of sharing research, ideas, and education; however, little is known about the rate at which these presentations are subsequently published. This study analyzed trends related to publication outcomes of 651 presentations given from 2013 to 2022. Using Python scripts that queried the PubMed database, we found that 175 presentations (27%) went on to be published in the peer-reviewed literature [we also accounted for presentations published in Academic Forensic Pathology (AFP) in the years when AFP was not indexed in PubMed]. The journals AFP and the AJFMP accounted for most of the publications, but over 30 other journals were identified. Publications in AFP declined in the latter years of our study range, while publications in AJFMP increased. First authors from NMS, the CDC, and Ottawa-based institutions were among the most likely to publish their presentations. To assess the performance of our automated scripts, we also performed a manual Internet/PubMed search of presentation titles and authors; our automated scripts detected 97% of all matched presentations with PubMed. Information gleaned from studying bibliometric trends can help inform strategies for improving future educational programs.","PeriodicalId":55535,"journal":{"name":"American Journal of Forensic Medicine and Pathology","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144602342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Handmade Firearm and Ammunition Death: A Case Study. 手工制作的枪支和弹药死亡：一个案例研究。

IF 1 4区医学

American Journal of Forensic Medicine and Pathology Pub Date : 2025-07-07 DOI: 10.1097/PAF.0000000000001059

Ra Ivana Andric, Živana Slovic, Ivan Aleksic, Katarina Vitoševic

引用次数: 0

Acute Necrotizing Eosinophilic Myocarditis in a 27-year-old Woman: A Case Report. 27岁女性急性坏死性嗜酸性心肌炎1例报告。

IF 1 4区医学

American Journal of Forensic Medicine and Pathology Pub Date : 2025-07-07 DOI: 10.1097/PAF.0000000000001060

Alexandra Mease, Franklin Boyd, Blake Patel, Carolina McEnnan

引用次数: 0

Fatal Potassium Thiocyanate Poisoning Presenting With Falsely Elevated Chloride Concentration. 致命的硫氰酸钾中毒表现为氯化物浓度错误升高。

IF 1 4区医学

American Journal of Forensic Medicine and Pathology Pub Date : 2025-06-27 DOI: 10.1097/PAF.0000000000001057

Melissa A Pasquale-Styles, Suzanne Doyon, John Agboola, Ryan J Cole, William Schroeder, Michael Hays

{"title":"Fatal Potassium Thiocyanate Poisoning Presenting With Falsely Elevated Chloride Concentration.","authors":"Melissa A Pasquale-Styles, Suzanne Doyon, John Agboola, Ryan J Cole, William Schroeder, Michael Hays","doi":"10.1097/PAF.0000000000001057","DOIUrl":"https://doi.org/10.1097/PAF.0000000000001057","url":null,"abstract":"Potassium thiocyanate is a long-discontinued weak antihypertensive and an uncommonly encountered toxic agent. We report a 52-year-old man who presented to the emergency department with a sudden onset of altered mental status, vomiting, and seizures after a suspected toxic ingestion. Clinical laboratory tests showed a falsely elevated serum chloride (>200 mmol/L) with other normal electrolytes, resulting in a significant negative anion gap. An endoscopy showed gastric mucosa edema and hyperemia. Repeated electroencephalograms showed moderate to severe encephalopathy. He remained symptomatic until his death 9 days later. An autopsy found hypoxic-ischemic changes in the brain. Toxicological analysis on antemortem blood collected 93 to 95 hours after apparent ingestion revealed a thiocyanate concentration of 260 μg/mL and cyanide concentration of 0.21 μg/mL. Toxicology on postmortem specimens revealed thiocyanate concentrations of 78 μg/mL in cardiac blood, 75 μg/mL in peripheral blood, 16 μg/g in brain, 49 μg/g in kidney, 37 μg/g in liver, and 21 μg/g in skeletal muscle. Further investigation found an internet order for potassium thiocyanate in the days before ingestion. This case report raises the awareness of thiocyanate as a potentially re-emerging toxin and pseudohalide that can interfere with clinical laboratory testing and present as falsely elevated serum chloride (pseudohyperchloremia).","PeriodicalId":55535,"journal":{"name":"American Journal of Forensic Medicine and Pathology","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144499477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

First Case Report of the Use of Postmortem Wide-Angle Fundus Photography in Abusive Head Trauma. 死后广角眼底摄影在虐待性头部创伤中的应用首例报告。

IF 1 4区医学

American Journal of Forensic Medicine and Pathology Pub Date : 2025-06-26 DOI: 10.1097/PAF.0000000000001055

Toru Oshima, Hiroshi Yoshikawa, Hidehisa Sekijima, Hirokazu Kotani

{"title":"First Case Report of the Use of Postmortem Wide-Angle Fundus Photography in Abusive Head Trauma.","authors":"Toru Oshima, Hiroshi Yoshikawa, Hidehisa Sekijima, Hirokazu Kotani","doi":"10.1097/PAF.0000000000001055","DOIUrl":"10.1097/PAF.0000000000001055","url":null,"abstract":"Retinal hemorrhages commonly cooccur with abusive head trauma (AHT). While wide-field fundus photography is crucial for documenting retinal hemorrhage in living children, in fatal cases, a pathologic examination is traditionally used. This report describes the case of a 4-year-old girl who died of head trauma suspected to have been caused by physical abuse. Before the autopsy, wide-field fundus photography using scanning laser ophthalmoscopy (SLO) was performed to document retinal hemorrhages. Imaging revealed that retinal hemorrhages were predominantly located at the posterior pole and in the peripheral retina of the right eye. The autopsy confirmed cranial injuries, including acute subdural hematoma. Pathologic examination of the eyes revealed hemorrhages beneath the internal limiting membrane and within the inner to outer nuclear layers of the retina. The cause of death was determined to be head trauma leading to an acute subdural hematoma. This case confirms that wide-field fundus photography using SLO can be performed postmortem, supplementing pathologic findings. Postmortem fundus photography, particularly using SLO, has the potential to reduce the risk of artifact introduction during the preparation of traditional specimens. Additional case studies are required to further refine the use of this technique and establish its potential forensic application in the diagnosis of AHT.","PeriodicalId":55535,"journal":{"name":"American Journal of Forensic Medicine and Pathology","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144487222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

An Autopsy Case of ANCA-Negative Small Vessel Vasculitis With Glomerular Crescents. anca阴性小血管炎伴月牙状肾小球尸检1例。

IF 1 4区医学

American Journal of Forensic Medicine and Pathology Pub Date : 2025-06-23 DOI: 10.1097/PAF.0000000000001058

Thomas Auen, Erin Linde

引用次数: 0