First assumptions and overlooking competing causes of death

Determining the most probable cause of death is important, and it is sometimes tempting to assume an obvious cause of death, when it readily presents itself, and stop looking for other competing causes of death. The case story presented here illustrates this dilemma. The first assumption of cause of death, which was based on results from bacteriology tests, proved to be wrong when the results from the forensic toxicology testing became available. This case also illustrates how post mortem computed tomography (PMCT) findings of radio opaque material in the stomach alerted the pathologist to the possibility of tablet ingestion.