American Journal of Forensic Medicine and Pathology最新文献

Sudden Death Due to Necrotizing Fasciitis After Routine Cervical Radiofrequency Ablation Treatment. 常规宫颈射频消融治疗后因坏死性筋膜炎猝死。

IF 1 4区医学

American Journal of Forensic Medicine and Pathology Pub Date : 2025-03-01 Epub Date: 2024-07-18 DOI: 10.1097/PAF.0000000000000976

Ravi Trivedi, Joyce L deJong, Patrick A Hansma

引用次数: 0

Suicide by Ethyl Methacrylate Ingestion. 摄入甲基丙烯酸乙酯自杀。

IF 1 4区医学

American Journal of Forensic Medicine and Pathology Pub Date : 2025-03-01 Epub Date: 2024-08-02 DOI: 10.1097/PAF.0000000000000979

Samuel P Prahlow, Taylor Wilson, Amy C Gruszecki

{"title":"Suicide by Ethyl Methacrylate Ingestion.","authors":"Samuel P Prahlow, Taylor Wilson, Amy C Gruszecki","doi":"10.1097/PAF.0000000000000979","DOIUrl":"10.1097/PAF.0000000000000979","url":null,"abstract":"Abstract: This case report characterizes a unique way in which suicide was accomplished through ingestion of chemicals typically used to create acrylic fingernails that resulted in death. Ethyl methacrylate and acrylic powder are commonly combined to form acrylic nails in nail salons. The process of applying acrylic nails utilizes each substance by mixing both before it typically solidifies within seconds of combining the two compounds. Ingestion of these compounds has not been previously described within the medical literature. The decedent was a nail technician at a local salon. He was found unresponsive in his yard which led to a 911 call. At the scene, a mostly empty 16-oz bottle of ethyl methacrylate, a chemical used at the salon where he worked, was found. At autopsy, the decedent's body had a strong chemical odor consistent with odors present at nail salons. Significant gastrointestinal tract damage was seen including discoloration within the esophagus, and the stomach contained a molded, hardened nail compound. The cause of death was ruled as complications of nail acrylic powder and liquid ethyl methacrylate ingestion. This case shows the unusual findings seen at autopsy from a decedent who committed suicide by ingestion of ethyl methacrylate with acrylic powder.","PeriodicalId":55535,"journal":{"name":"American Journal of Forensic Medicine and Pathology","volume":" ","pages":"82-86"},"PeriodicalIF":1.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141876769","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

The National Association of Medical Examiners Eckert Memorial Award.

IF 1 4区医学

American Journal of Forensic Medicine and Pathology Pub Date : 2025-03-01 Epub Date: 2025-01-22 DOI: 10.1097/PAF.0000000000001001

引用次数: 0

Caseous Calcification of the Mitral Annulus: Calcified Toothpaste of the Heart. 二尖瓣环钙化：心脏钙化牙膏。

IF 1 4区医学

American Journal of Forensic Medicine and Pathology Pub Date : 2025-03-01 Epub Date: 2024-07-18 DOI: 10.1097/PAF.0000000000000971

Kyla M Jorgenson, Phillip D McMullen, Bruce I Goldman, Marisa Jacob-Leonce

{"title":"Caseous Calcification of the Mitral Annulus: Calcified Toothpaste of the Heart.","authors":"Kyla M Jorgenson, Phillip D McMullen, Bruce I Goldman, Marisa Jacob-Leonce","doi":"10.1097/PAF.0000000000000971","DOIUrl":"10.1097/PAF.0000000000000971","url":null,"abstract":"Abstract: Caseous calcification of the mitral annulus (CCMA) is a rare variant of mitral annular calcification (MAC) usually described as an antemortem finding. We report a case of sudden cardiac arrest in a 39-year-old male with end-stage renal disease undergoing hemodialysis with a history of Fabry disease by kidney biopsy. Autopsy revealed significant circumferential annular calcification in both mitral and aortic valves with a caseous gross appearance. Histologically, these areas consisted of amorphous basophilic material accompanied by a surrounding granulomatous-appearing infiltrate. Von Kossa staining on non-decalcified tissue revealed strong positive staining, confirming CCMA diagnosis. While identifiable, the atrioventricular node was displaced and distorted by caseous deposits. Toluidine blue staining of myocardium showed osmophilic accumulations, and electron microscopy (EM) showed myeloid/zebra bodies, consistent with Fabry disease. We posit that Fabry disease leads to end-stage kidney disease, altering calcium phosphate metabolism, a proposed mechanism for CCMA. This case highlights the multifactorial nature of sudden cardiac death in decedents with various structural cardiac changes and potential renal-disease-induced electrolyte imbalances. We aim to bring awareness to this rare entity, its potential role in a sudden cardiac death, and to highlight the need to use non-decalcified tissue when staining for calcium to establish the diagnosis.","PeriodicalId":55535,"journal":{"name":"American Journal of Forensic Medicine and Pathology","volume":" ","pages":"59-63"},"PeriodicalIF":1.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141635961","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

Suicide by an Electric Power Drill and Spade Drill Bit: An Unusual Mechanism of Death. 使用电钻和铲形钻头自杀：一种不寻常的死亡机制。

IF 1 4区医学

American Journal of Forensic Medicine and Pathology Pub Date : 2025-03-01 Epub Date: 2024-07-16 DOI: 10.1097/PAF.0000000000000970

Trevor Watkins, Nathan Milne, Beng Beng Ong

引用次数: 0

Multiorgan Crystal Deposition in Acute Ethylene Glycol Toxicity. 急性乙二醇中毒中的多器官晶体沉积。

IF 1 4区医学

American Journal of Forensic Medicine and Pathology Pub Date : 2025-03-01 Epub Date: 2024-10-14 DOI: 10.1097/PAF.0000000000000991

Matthew Uy, Kimberley Molina

引用次数: 0

Firearm Fatalities in the Pediatric Population: A Retrospective Study From the Cook County Medical Examiner's Office. 儿科人群中的枪杀案：库克郡法医办公室的一项回顾性研究。

IF 1 4区医学

American Journal of Forensic Medicine and Pathology Pub Date : 2025-03-01 Epub Date: 2024-08-12 DOI: 10.1097/PAF.0000000000000973

Alexandra Cina, Ilaria Tarozzi, Ponni Arunkumar, Lorenzo Gitto

{"title":"Firearm Fatalities in the Pediatric Population: A Retrospective Study From the Cook County Medical Examiner's Office.","authors":"Alexandra Cina, Ilaria Tarozzi, Ponni Arunkumar, Lorenzo Gitto","doi":"10.1097/PAF.0000000000000973","DOIUrl":"10.1097/PAF.0000000000000973","url":null,"abstract":"Abstract: Gunshot injuries are one of the leading causes of death from trauma in the United States. In recent years, the US has experienced an increasing number of fatal pediatric cases related to firearms.A search of the database of the Cook County Medical Examiner's Office over the period January 2016-December 2021 revealed 418 deaths by gunshot wounds (GSWs) among people aged between 0 and 18 years old. Subjects were subcategorized in infants (0 to 1 year), toddlers (≥1 to 3 years), preschool (≥3 to 6 years), preadolescents (≥6 to 12 years), and adolescents (≥12 to 18 years).Most victims were males (n = 374) and adolescents (357 males and 30 females). Homicide (n = 373) was the most common manner of death. Only 2 deaths were accidental. Single GSWs deaths (n = 232) were more common than multiple GSWs (n = 186) and preferentially directed to the head in both homicides and suicides. Gang or robbery related events in areas of readily available firearms explained 4.5% of homicides (17 out of 373 cases). Among deaths by self-inflicted GSWs (n = 36), 7 cases were linked to psychiatric disorders, 3 to family difficulties, 2 to history of playing Russian roulette, and 2 to bullying at school.Pediatric gunshot injuries and deaths are an important public health problem. Understanding and addressing individual and societal risk factors should be the first step toward prevention.","PeriodicalId":55535,"journal":{"name":"American Journal of Forensic Medicine and Pathology","volume":" ","pages":"22-27"},"PeriodicalIF":1.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141918155","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

The Mechanism of Death in Electrocution: A Historical Review of the Literature. 电刑的死亡机制：文献历史回顾。

IF 1 4区医学

American Journal of Forensic Medicine and Pathology Pub Date : 2025-03-01 Epub Date: 2024-08-02 DOI: 10.1097/PAF.0000000000000980

Mark W Kroll, Richard M Luceri, Igor R Efimov, Hugh Calkins

引用次数: 0

Tracheobronchial Thrombus. 气管支气管血栓。

IF 1 4区医学

American Journal of Forensic Medicine and Pathology Pub Date : 2025-03-01 Epub Date: 2024-06-28 DOI: 10.1097/PAF.0000000000000969

Sarra Dodaro, David Winston

引用次数: 0

Barriers to Family History Collection and Family Medical Screening Recommendation in the Sudden Death in the Young Case Registry. 青少年猝死病例登记中家庭病史收集和家庭医疗筛查建议的障碍。

IF 1 4区医学

American Journal of Forensic Medicine and Pathology Pub Date : 2025-03-01 Epub Date: 2024-11-05 DOI: 10.1097/PAF.0000000000000989

Bailey Machek, Cassandra Buck, Heather MacLeod, Christine Keywan

{"title":"Barriers to Family History Collection and Family Medical Screening Recommendation in the Sudden Death in the Young Case Registry.","authors":"Bailey Machek, Cassandra Buck, Heather MacLeod, Christine Keywan","doi":"10.1097/PAF.0000000000000989","DOIUrl":"10.1097/PAF.0000000000000989","url":null,"abstract":"Abstract: Sudden death in the young (SDY) poses a public health problem affecting thousands of individuals annually in the United States. The SDY Case Registry utilizes existing infrastructure of death investigation programs, including medical examiner/coroner (ME/C) systems, to enhance understanding of SDY causes and risk factors to inform prevention strategies. This includes identifying and promoting screening recommendations for at-risk family members. To explore barriers to family history collection and familial screening recommendation procedures across Registry sites, nine individuals from seven SDY sites were interviewed. Interviews focused on logistics, methods to address barriers, and recommendations for improvements. Despite variability in practices, data analysis revealed three common themes related to barriers of these processes: (1) timing and grief, (2) lack of family history in medical records, and (3) families lost to follow-up. This study offers insights into these processes within the Registry and sheds light on broader practices within the death investigation domain. Data analysis led to recommendations for the improvement of these practices including the prioritization of three key family history questions during the initial death investigation by a designated individual in each office/system.","PeriodicalId":55535,"journal":{"name":"American Journal of Forensic Medicine and Pathology","volume":" ","pages":"34-39"},"PeriodicalIF":1.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142577219","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