American Journal of Forensic Medicine and Pathology最新文献

Type B Right Ventricular Thrombus With Postmortem Computed Tomography and Postmortem Examination Correlation. B型右心室血栓与死后ct和死后检查的相关性。

IF 1 4区医学

American Journal of Forensic Medicine and Pathology Pub Date : 2025-06-16 DOI: 10.1097/PAF.0000000000001056

Gurnoor Bhatia, Samantha Waugh, Rexson Tse

引用次数: 0

When One's Not Enough: Gunshot Suicide Characteristics and Demographics Associated With Having Multiple Gunshots. 当一个人还不够时：枪击自杀特征和与多次枪击相关的人口统计学。

IF 1 4区医学

American Journal of Forensic Medicine and Pathology Pub Date : 2025-06-06 DOI: 10.1097/PAF.0000000000001052

Soren Jensen, Ashley Perkins, Milad Webb

{"title":"When One's Not Enough: Gunshot Suicide Characteristics and Demographics Associated With Having Multiple Gunshots.","authors":"Soren Jensen, Ashley Perkins, Milad Webb","doi":"10.1097/PAF.0000000000001052","DOIUrl":"https://doi.org/10.1097/PAF.0000000000001052","url":null,"abstract":"Self-inflicted gunshot wounds are a common modality of suicide. Cases with multiple gunshot wounds are rare. Problems with determining manner may arise when there is a lack of understanding of how and why they occur. Demographic data has seldom been explored in these cases. Gunshot wound suicides from the years 2015 to 2023 were reviewed at the Hillsborough County Medical Examiner's Office. Nineteen cases with multiple gunshot wounds were found. The multi-GSW cases, compared to the single-GSW cases, had a significantly increased proportion of revolvers (57.9% vs. 29.8%, P=0.008), lower muzzle energy handguns (86.7% vs. 39.6%, P<0.001), and shots to the torso (70.6% vs. 9.0%, P<0.001). Multi-GSW case decedents were significantly older than the single-GSW suicide average (16.2 y, P<0.001). There were also significant age differences between decedents who used the following: (Revolvers vs. semi-automatic pistols, 16.2 y, P<0.001; muzzle energy <400 vs. >400 J, 15.8 y, P<0.001; and shots to the torso vs. head, 8.4 y, P=0.002). In our population, older age was associated with factors that might necessitate multiple gunshot wounds in a suicide.","PeriodicalId":55535,"journal":{"name":"American Journal of Forensic Medicine and Pathology","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144236010","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 Epstein-Barr Virus (EBV) Myopericarditis in a Young Adult Male: A Case Report. 年轻成年男性致死性eb病毒性心包炎1例报告

IF 1 4区医学

American Journal of Forensic Medicine and Pathology Pub Date : 2025-06-06 DOI: 10.1097/PAF.0000000000001053

Cecilia Ferronato, Jessika Camatti, Fabrizio Zucchi, Paolo Ius, Rossana Cecchi, Anna Laura Santunione

{"title":"Fatal Epstein-Barr Virus (EBV) Myopericarditis in a Young Adult Male: A Case Report.","authors":"Cecilia Ferronato, Jessika Camatti, Fabrizio Zucchi, Paolo Ius, Rossana Cecchi, Anna Laura Santunione","doi":"10.1097/PAF.0000000000001053","DOIUrl":"https://doi.org/10.1097/PAF.0000000000001053","url":null,"abstract":"Epstein-Barr virus (EBV), typically known for a self-limited infection, the \"infectious mononucleosis\" (IM), can rarely provoke cardiac complications. We present here a case of fatal EBV myopericarditis in a young adult recently diagnosed with IM. A 16-year-old patient, whose medical history was characterized by multiple chronic pathologic conditions, was diagnosed with IM during a hospitalization. A month after discharge, he was admitted to the hospital, where an exacerbation of chronic pericarditis was diagnosed. Then, a few hours later, the patient died. Autopsy, histologic, and microbiological examinations were performed. Internal examination demonstrated opalescent and thickened pericardium, containing 180 mL of a yellowish clear effusion. The epicardium was opalescent and thickened. Cardiac microscopical examination demonstrated a diffuse and intense inflammatory infiltrate of myocardium and pericardium, associated with focal myocyte necrosis. Qualitative real-time polymerase chain reaction, performed in the pericardial effusion, tested positive for EBV DNA. The cause of death was identified as a fatal moderate-to-severe myopericarditis caused by EBV that occurred in a young adult with multiple chronic pathologic conditions. This case report emphasizes that EBV infection should be considered as a cause of sudden death due to cardiac complications in young patients with a recent diagnosis of IM.","PeriodicalId":55535,"journal":{"name":"American Journal of Forensic Medicine and Pathology","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144236007","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

Meckel Diverticulum as a Lead Point for Fatal Volvulus in an 84-Year-Old Man. 梅克尔憩室作为84岁男性致死性肠扭转的先导点。

IF 1 4区医学

American Journal of Forensic Medicine and Pathology Pub Date : 2025-06-06 DOI: 10.1097/PAF.0000000000001051

Hiro Ross, Jonathan Zuckerman

引用次数: 0

Retained Cutaneous Bee Stinger in an Anaphylactic Death. 过敏性死亡中残留的皮肤蜂刺。

IF 1 4区医学

American Journal of Forensic Medicine and Pathology Pub Date : 2025-06-06 DOI: 10.1097/PAF.0000000000001054

Nathan Milne, Rachel Allavena, Jack Garland, Beng Beng Ong

引用次数: 0

Gunshot Residue Deposition With and Without Firearm Suppressors (Silencers). 使用和不使用火器消声器（消音器）时的枪弹残留物沉积。

IF 1 4区医学

American Journal of Forensic Medicine and Pathology Pub Date : 2025-06-01 Epub Date: 2024-10-15 DOI: 10.1097/PAF.0000000000000990

Samuel P Prahlow, Lee Morgan, Joseph A Prahlow

引用次数: 0

Illustrated Forensic Pathology: Primary Small Bowel Volvulus-A Rare Cause of Sudden Death. 法医病理学图解》：原发性小肠溃疡--猝死的罕见原因。

IF 1 4区医学

American Journal of Forensic Medicine and Pathology Pub Date : 2025-06-01 Epub Date: 2024-11-05 DOI: 10.1097/PAF.0000000000000999

Catherine Taylor, Peter T Lin

引用次数: 0

A Rare Case of Neonatal Death Due to a Cranial Vault Fracture Following the Use of Obstetric Vacuum Extractor and Review of Literature. 使用产科真空吸引器造成颅顶骨折导致新生儿死亡的罕见病例及文献综述。

IF 1 4区医学

American Journal of Forensic Medicine and Pathology Pub Date : 2025-06-01 Epub Date: 2024-11-05 DOI: 10.1097/PAF.0000000000000996

Fiorella Caputo, Isabella Caristo, Rosario Barranco, Luca Vallega Bernucci, Flaminia Torielli, Francesco Ventura

{"title":"A Rare Case of Neonatal Death Due to a Cranial Vault Fracture Following the Use of Obstetric Vacuum Extractor and Review of Literature.","authors":"Fiorella Caputo, Isabella Caristo, Rosario Barranco, Luca Vallega Bernucci, Flaminia Torielli, Francesco Ventura","doi":"10.1097/PAF.0000000000000996","DOIUrl":"10.1097/PAF.0000000000000996","url":null,"abstract":"Abstract: In the course of childbirth, if complications arise during the expulsion of the fetus, instruments can be employed to facilitate delivery. The vacuum extractor, or ventouse, is considered a relatively safe tool associated with a low rate of complications and mortality. However, it is crucial that the instrument be applied in the correct position and that the pulling force is not excessive to minimize damage to the fetal cranial structures. Fractures of the cranial vault following the application of obstetric vacuum extraction are very rare events.This paper presents a case of perinatal death due to cranial vault fracture and subgaleal hematoma following vacuum extractor application. Only through postmortem examination was it possible to identify incorrect positioning of the ventouse, which was lateralized compared to the recommended position. The misplacement of the device led to an imbalance of forces, causing the cranial vault fracture that led to the infant's demise.A thorough postmortem examination is essential in cases of perinatal death resulting from operative delivery to ascertain the cause of death and reconstruct the dynamics of events during childbirth. In particular, the examination of injuries on the decedent neonate may reveal improper positioning of the instrument.","PeriodicalId":55535,"journal":{"name":"American Journal of Forensic Medicine and Pathology","volume":" ","pages":"167-170"},"PeriodicalIF":1.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142577209","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

Decedents Found in Bathtubs. 在浴缸中发现死者。

IF 1 4区医学

American Journal of Forensic Medicine and Pathology Pub Date : 2025-06-01 Epub Date: 2024-11-05 DOI: 10.1097/PAF.0000000000000987

Bethany Faust, Amanda Dye, James R Gill

{"title":"Decedents Found in Bathtubs.","authors":"Bethany Faust, Amanda Dye, James R Gill","doi":"10.1097/PAF.0000000000000987","DOIUrl":"10.1097/PAF.0000000000000987","url":null,"abstract":"Abstract: We investigated deaths in bathtubs for criteria to assist in death certification. We reviewed 252 deaths in which the person was found dead in a bathtub/shower at home. We extracted cause, manner, age, clad or unclad, water in the bathtub, water running, and face submersion. Of the 252 deaths, heart disease was the leading cause of death (129), followed by intoxication (47), trauma (22), drowning (28), and other diseases (26). The manners of death were 155 natural, 64 accident, 30 suicide, and 3 homicides. All drowning fatalities involved the decedent having their face submerged. Intoxication and natural deaths had submersion of the face in 15% and 12% of deaths, respectively. For nondrowning causes of death, the majority were without face submersion. For natural deaths, the predominant circumstance was the individual discovered unclad with water in the bathtub and the face not submerged. Conversely, for suicides, the majority were found clad without water. A comprehensive investigation incorporating a scene examination, gathering of the medical and psychosocial history, and typically an autopsy is needed to certify the cause and manner of death. Face submersion alone is not diagnostic of a drowning and must be interpreted with the medical history and autopsy findings.","PeriodicalId":55535,"journal":{"name":"American Journal of Forensic Medicine and Pathology","volume":" ","pages":"106-110"},"PeriodicalIF":1.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142577227","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

Air Embolism in a Case of Pulmonary Aspergillosis-A Case Report With Brief Review of Literature. 肺曲霉菌病空气栓塞1例并文献复习。

IF 1 4区医学

American Journal of Forensic Medicine and Pathology Pub Date : 2025-06-01 DOI: 10.1097/PAF.0000000000001036

Gokul G, Abilash Srinivasa Murthy, Abhishek Yadav, Mahalakshmi Narendira Babu, Shivangi Dagar, Sudhir K Gupta

{"title":"Air Embolism in a Case of Pulmonary Aspergillosis-A Case Report With Brief Review of Literature.","authors":"Gokul G, Abilash Srinivasa Murthy, Abhishek Yadav, Mahalakshmi Narendira Babu, Shivangi Dagar, Sudhir K Gupta","doi":"10.1097/PAF.0000000000001036","DOIUrl":"https://doi.org/10.1097/PAF.0000000000001036","url":null,"abstract":"Abstract: Air embolism is a life-threatening condition characterized by the entry of air into the vessels, causing circulatory collapse. Air embolism may be arterial or venous, with venous air embolism being the most common. Arterial air embolism is commonly due to trauma or right to left shunting of cardiac circulation in cases of patent foramen ovale, ventricular septal defects, or rarely due to pulmonary arteriovenous fistulas. We report a case of a 40-year-old male who was diagnosed with pulmonary aspergillosis and sarcoidosis. He presented to the hospital with acute hemoptysis, where he deteriorated and was declared dead within 40 minutes. Postmortem computed tomography revealed air emboli in the coronary and cerebral vessels and the left ventricle. The possibility of decomposition gases was ruled out radiologically by grading the location and quantity of the air column. Thus, the case was diagnosed as spontaneous air embolism as a complication of pulmonary aspergillosis. The pathomechanism involved the formation of a broncho-vascular fistula due to expanding pulmonary cavitary lesions. Thus, in cases with acute hemoptysis complicating cavitary lung lesions, the treating physician should also suspect arterial air emboli, which can contribute to circulatory collapse in addition to aspiration of blood. Forensic pathologists are advised to employ postmortem computed tomography as a supplement to traditional autopsy while investigating deaths due to cavitary lung disease and hemoptysis.","PeriodicalId":55535,"journal":{"name":"American Journal of Forensic Medicine and Pathology","volume":"46 2","pages":"175-179"},"PeriodicalIF":1.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144236012","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