3,158 results match your criteria The American Journal of Forensic Medicine and Pathology [Journal]


Transient Pigmentary Lines of the Newborn in a Postmortem Examination: A Case Report.

Am J Forensic Med Pathol 2019 Jan 23. Epub 2019 Jan 23.

Kentucky Chief Medical Examiner Office, Louisville, KY.

Sudden unexplained death in infancy is a leading cause of death among infants between 1 month and 1 year of age in the United States. The medical examiner is frequently given the difficult task of attempting to rule out other causes of death such as infantile trauma or child abuse. A thorough postmortem examination of the skin is a crucial component of the autopsy, as is sufficient knowledge of both benign and traumatic skin pathologies. Read More

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http://dx.doi.org/10.1097/PAF.0000000000000461DOI Listing
January 2019
3 Reads

Rebury the "Atavistic Skull" Studied by Lombroso?

Am J Forensic Med Pathol 2019 Jan 24. Epub 2019 Jan 24.

Centre of Research in Osteoarchaeology and Paleopathology, Department of Biotechnology and Life Sciences, University of Insubria, Varese, Italy.

On May 16, 2017, the judgment of the Italian court ended the legal battle concerning the repatriation request of the famous skull, belonging to the "brigand" Giuseppe Villella. During the autopsy examination on the corpse of Villella, Lombroso observed a median occipital dimple on the skull, a feature visible in other mammals, including primates, but absent in humans. This feature could demonstrate an anomalous dimension of the median lobe of Villella's cerebellum. Read More

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http://dx.doi.org/10.1097/PAF.0000000000000460DOI Listing
January 2019
1 Read

Black Esophagus (Acute Necrotizing Esophagitis) and Wischnewsky Lesions in a Death From Diabetic Ketoacidosis: A Possible Underlying Mechanism.

Am J Forensic Med Pathol 2019 Jan 23. Epub 2019 Jan 23.

Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.

Acute esophageal necrosis (AEN), also known as black esophagus, is a rare clinical entity. It is recently described to be associated with diabetic ketoacidosis (DKA) in a few case reports. Wischnewsky lesions (WLs) are a classic postmortem finding seen in fatal hypothermia but are recently described to be associated with DKA. Read More

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http://dx.doi.org/10.1097/PAF.0000000000000463DOI Listing
January 2019
2 Reads

Rapid Streptococcus Pneumonia Antigen Detection on Postmortem Urine in a Death Due to Pneumococcal Meningitis.

Am J Forensic Med Pathol 2019 Jan 17. Epub 2019 Jan 17.

Departments of Forensic Pathology and.

Streptococcus pneumoniae is the leading cause of adult bacterial meningitis. Differing from Neisseria meningitidis (the second most common cause of acute bacterial meningitis), contact tracing and chemoprophylaxis are not required. At postmortem, the differentiation between S. Read More

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http://dx.doi.org/10.1097/PAF.0000000000000462DOI Listing
January 2019
4 Reads

Elevated Cerebrospinal Fluid Sodium and Chloride Levels in a Saltwater Drowning Death.

Am J Forensic Med Pathol 2019 Jan 17. Epub 2019 Jan 17.

Departments of Forensic Pathology and.

To ascribe a cause of death from drowning in a body immersed in water can be difficult because of the absence of specific postmortem findings and unreliable ancillary tests. Postmortem vitreous biochemical analysis is documented to be a useful adjunct ancillary test to aid the diagnosis of saltwater drowning. A major confounding factor in using postmortem vitreous is the effect of electrolyte diffusion and water osmosis during immersion. Read More

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http://dx.doi.org/10.1097/PAF.0000000000000464DOI Listing
January 2019
2 Reads

A Case of Bilateral Extracranial Internal Carotid Artery Dissection Due to the Helmet Strap After Motorcycle Crash.

Am J Forensic Med Pathol 2019 Jan 7. Epub 2019 Jan 7.

Section of Legal Medicine, Hospital of Terni, Terni, Italy.

The authors report a case of a man who developed stroke symptoms a few days after a road accident on his motorcycle. Radiographic examinations revealed the presence of bilateral dissection of the extracranial internal carotid arteries with signs of involvement of the brain parenchyma.The location, timing, and presentation lead to the conclusion that the carotid lesions were secondary to the motorcycle collision; in particular, we suppose that it is due to the pressure exerted by the helmet strap worn. Read More

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http://dx.doi.org/10.1097/PAF.0000000000000458DOI Listing
January 2019
3 Reads

Fatal Intestinal Obstruction in a Patient With Fetal Alcohol Syndrome.

Am J Forensic Med Pathol 2019 Jan 7. Epub 2019 Jan 7.

From the Department of Pathology and Laboratory Medicine, Spectrum Health Blodgett Campus, Grand Rapids, MI.

We describe an 8-year-old white boy with a history of fetal alcohol syndrome and pica, who was found dead on the floor by his mother. The child died from massive intestinal dilatation causing asphyxia. We discuss the potential pathogenetic mechanisms of intestinal dilation in patients with fetal alcohol syndrome. Read More

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http://dx.doi.org/10.1097/PAF.0000000000000459DOI Listing
January 2019
5 Reads

Applied Force During Prone Restraint: Is Officer Weight a Factor?

Am J Forensic Med Pathol 2019 Mar;40(1):1-7

Valdosta State University, Valdosta, GA.

Introduction: It has been suggested that law enforcement officer (LEO) weight on the backs of prone subjects may cause asphyxia.

Methods: Law enforcement officers used their agency-trained "local" single- and double-knee techniques, the "Wisconsin" 3-Point Ground Stabilization, and the Human Factor Research Group Inc single-knee tactical handcuffing techniques, and the weight force was measured.

Results: Forty-one LEOs (36 men, 5 women) participated, aged 38. Read More

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http://dx.doi.org/10.1097/PAF.0000000000000457DOI Listing
March 2019
1 Read

A Descriptive and Geospatial Analysis of Environmental Factors Attributing to Sudden Unexpected Infant Death.

Am J Forensic Med Pathol 2018 Dec 18. Epub 2018 Dec 18.

The University of Texas Health Science Center at Houston School of Public Health, Houston, TX.

This study examined medicolegal death investigation records and autopsy reports of a medical examiner's office to identify the circumstances surrounding sudden unexpected infant deaths (SUID) and geospatial analyses to pinpoint areas of infant death concentration. Analysis of 732 records of SUID deaths occurring in a 10-year span resulted in the conclusion that environmental factors associated with the sudden death were to some extent modifiable. Co-sleeping (sharing a sleeping surface, or bed-sharing) on various surfaces (mattress, pallet, couch) occurred in 53. Read More

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http://dx.doi.org/10.1097/PAF.0000000000000455DOI Listing
December 2018
1 Read

Neonatal Death Caused by Interrupted Aortic Arch Associated With 22q11.2 Deletion Syndrome: An Autopsy Case Report.

Am J Forensic Med Pathol 2018 Dec 17. Epub 2018 Dec 17.

Division of Genomic Medicine, Kanazawa Medical University, Ishikawa, Japan.

A case of clinically unsuspected fatal interrupted aortic arch (IAA) is described. A 17-day-old Japanese girl unexpectedly entered respiratory arrest at home. On autopsy, the heart was hypertrophic, with no apparent connection between the ascending and descending aortas. Read More

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http://dx.doi.org/10.1097/PAF.0000000000000454DOI Listing
December 2018
3 Reads

A Fatal Case of Acute Renal Failure From Envenoming Syndrome After Massive Bee Attack: A Case Report and Literature Review.

Authors:
Rhome L Hughes

Am J Forensic Med Pathol 2019 Mar;40(1):52-57

From the University of North Dakota School of Medicine and Health Sciences, Grand Forks, ND.

Envenoming syndrome is a systemic toxic reaction to the inoculation of large volume of insect venom, typically after a swarm attack from bees. Africanized honey bees are notorious for their aggressive nature, and human deaths resulting from Africanized honey bee attacks are consistently reported. Whereas anaphylaxis is the most common lethal mechanism of injury, delayed deaths can also occur as a consequence of severe venom toxicity with resultant end organ damage. Read More

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http://dx.doi.org/10.1097/PAF.0000000000000451DOI Listing
March 2019
3 Reads

Symmetrical Apophyses on the Posterior Margins of the Thyroid Cartilage: A Previously Undescribed Anatomical Variation With Potential Forensic Implications.

Am J Forensic Med Pathol 2019 Mar;40(1):84-88

Departamento de Anatomía y Embriología Humana Facultad de Medicina, Universidad Complutense de Madrid, Madrid, Spain.

Differential diagnosis between normal/variant anatomy and pathological/traumatic findings represents one of the main matters of investigation of the so-called forensic clinical anatomy. In the literature, many anatomical variations of the laryngeal thyroid cartilage have been reported, with potential implications in forensic pathology. They include triticeal cartilages, foramen thyroideum, asymmetry, segmentation or agenesis of the superior thyroid horns, bone connections with the hyoid bone, absence of cricothyroid facets, hypertrophy of the inferior thyroid tubercle, and asymmetries in the thyroid notch, isthmus, or length of the inferior horn. Read More

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http://dx.doi.org/10.1097/PAF.0000000000000452DOI Listing
March 2019
2 Reads

Depressions of Dermestes maculatus (Coleoptera: Dermestidae) on Bones Could be Pupation Chambers.

Am J Forensic Med Pathol 2018 Nov 29. Epub 2018 Nov 29.

Laboratorio de Entomología Aplicada y Forense, Departamento de Ciencia y Técnica, Universidad Nacional de Quilmes, Bernal, Provincia de Buenos Aires, Argentina.

Dermestes maculatus DeGeer beetles feed and can leave marks on bones. This species is of medical, veterinary, and forensic importance. The aim of this work was to determine if the depressions produced on bones by these beetles could be product of pupation. Read More

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http://dx.doi.org/10.1097/PAF.0000000000000449DOI Listing
November 2018
2 Reads

Supervised Classification of CYP2D6 Genotype and Metabolizer Phenotype With Postmortem Tramadol-Exposed Finns.

Am J Forensic Med Pathol 2019 Mar;40(1):8-18

Department of Forensic Medicine, University of Helsinki, Helsinki, Finland.

Cytochrome p450 family 2, subfamily D, polypeptide 6 (CYP2D6) may be used to infer the metabolizer phenotype (MP) of an individual as poor, intermediate, extensive/normal, or ultrarapid. Metabolizer phenotypes may suggest idiosyncratic drug responses as contributing factors to cause and/or manner of death in postmortem investigations. Application of CYP2D6 has used long-range amplification of the locus and restriction enzyme digestion to detect single-nucleotide variants (SNVs) associated with MPs. Read More

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http://dx.doi.org/10.1097/PAF.0000000000000447DOI Listing
March 2019
3 Reads

Embolization of Endocardial Vegetation With Stroke Presentation.

Am J Forensic Med Pathol 2019 Mar;40(1):72-76

Department of Biomedical Sciences, University of South Carolina School of Medicine Greenville, Greenville, SC.

This case report details the unique cause of death of a 37-year-old Caucasian woman with a history significant for intravenous drug abuse. Before her death, she complained of extremity weakness and pain. Although her death was discovered to be the result of endocarditis, her symptoms were similar to that of a stroke. Read More

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http://dx.doi.org/10.1097/PAF.0000000000000445DOI Listing
March 2019
11 Reads

Biochemical Differences Between Vitreous Humor and Cerebral Spinal Fluid in a Death From Diabetic Ketoacidosis.

Am J Forensic Med Pathol 2018 Nov 20. Epub 2018 Nov 20.

Forensic Pathology and.

Biochemical analysis of cerebrospinal fluid (CSF) and vitreous humor (VH) forms an important diagnostic ancillary test at autopsy. Cerebrospinal fluid can be sampled from the ventricular system (VA) and from lumbar puncture (LP), whereas VH can be sampled from the orbits. Biochemical electrolytes seem to vary between VH and CSF collected from different sites, but whether there is any difference in glucose and β-hydroxybutyrate is unclear. Read More

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http://dx.doi.org/10.1097/PAF.0000000000000450DOI Listing
November 2018
5 Reads

Neisseria meningitidis Isolated in Vitreous Humor in a 5-Month-Old Infant Death From Meningococcal Sepsis.

Am J Forensic Med Pathol 2018 Nov 20. Epub 2018 Nov 20.

Forensic Pathology and.

Diagnosing sepsis at postmortem is challenging. With respect to meningococcal sepsis, the postmortem microbiological identification of Neisseria meningitidis is nearly always due to true infection, including in cases of decomposition. Previous case series and case reports were able to isolate N. Read More

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http://dx.doi.org/10.1097/PAF.0000000000000448DOI Listing
November 2018
3 Reads

Three-Dimensional Printing Technology Combined With Postmortem Computed Tomography Angiography as New Form of Forensic Evidence: A Case Report.

Am J Forensic Med Pathol 2019 Mar;40(1):61-64

Shanghai Key Laboratory of Forensic Medicine, Academy of Forensic Science, Shanghai, China.

Postmortem computed tomography (PMCT) and PMCT angiography are increasingly used in forensic practice. However, their application in court is still limited because they need professional equipment or software to be displayed. In this article, the authors introduce 3-dimensional (3D) printing technology as a new approach to provide evidence in court. Read More

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http://dx.doi.org/10.1097/PAF.0000000000000443DOI Listing
March 2019
13 Reads

Scurvy-Characteristic Features and Forensic Issues.

Am J Forensic Med Pathol 2019 Mar;40(1):43-46

School of Humanities, University of Tasmania, Hobart, Tasmania, Australia.

Scurvy is a multisystem condition that arises from vitamin C deficiency. As humans cannot synthesize vitamin C, serum and tissue levels depend on bioavailability, utilization, and renal excretion. Deficiencies result in defective collagen formation with swelling of gums, leg ulceration, and bleeding manifestations. Read More

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http://dx.doi.org/10.1097/PAF.0000000000000442DOI Listing
March 2019
9 Reads

Copper-Beaten Skull Appearance as a Response of Chronically Increased Intracranial Pressure.

Am J Forensic Med Pathol 2019 Mar;40(1):58-60

From the Institute of Forensic Medicine "Milovan Milovanović," University of Belgrade, School of Medicine, Belgrade, Serbia.

We present a case of 19-year-old female patient, who was injured in childhood and subsequently developed hydrocephalus, chronic elevation of intracranial pressure (ICP), and a copper-beaten skull appearance. Chronic hydrocephalus leads to an increase in intraventricular pressure, causing ventricular expansion and dislocation of adjacent cerebral structures. According to literature data, it has been hypothesized that chronically elevated ICP in persons with craniosynostosis, and other developmental structural abnormalities of the skull, may induce bone remodeling. Read More

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http://dx.doi.org/10.1097/PAF.0000000000000444DOI Listing
March 2019
3 Reads

Assessment of Craniometric Sexual Dimorphism Using Multidetector Computed Tomographic Imaging in a Sample of Egyptian Population.

Am J Forensic Med Pathol 2019 Mar;40(1):19-26

From the Forensic Medicine and Toxicology and Radiology Departments, Faculty of Medicine, Minia University, El-Minia, Egypt.

Sex determination is an initial and essential component of any medicolegal investigations. However, sometimes only cranial remains are available. The objective of this study was to determine sex using 12 craniofacial measurements in multidetector computed tomographic images of 150 Egyptian subjects (80 men and 70 women), with age ranging from 18 to 60 years. Read More

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http://dx.doi.org/10.1097/PAF.0000000000000439DOI Listing
March 2019
1 Read

Sudden, Unexpected Death Due to Pseudo-Meigs Syndrome: A Case Report and Review of the Literature.

Am J Forensic Med Pathol 2019 Mar;40(1):89-93

Department of Clinical Pathology, ASL 1 Imperiese - Sanremo Hospital, Sanremo, Italy.

Meigs syndrome is the triad of ascites, hydrothorax, and benign ovarian tumor (mostly fibroids). It is a diagnosis of exclusion, and the characteristic symptoms disappear after resection of the tumor. Instead, in Pseudo-Meigs syndrome, the triad includes a nonfibroma ovarian tumor. Read More

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http://dx.doi.org/10.1097/PAF.0000000000000438DOI Listing
March 2019
3 Reads

Exsanguination From an Ulcerated, Atypical, Superficial Venous Malformation.

Am J Forensic Med Pathol 2019 Mar;40(1):68-71

Princess Alexandra Hospital, Woolloongabba, Queensland, Australia.

Venous malformations (VMs) are the most common vascular malformations, and their diagnosis can be challenging. They may develop in any region of the body, with highly variable clinical presentations. Although they typically present early in life, many case reports have documented the sudden appearance of a previously unrecognized venous malformation in adulthood. Read More

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http://dx.doi.org/10.1097/PAF.0000000000000437DOI Listing
March 2019
9 Reads

Lethal Renal Venous Thrombosis Complicating Dehydration in Infancy.

Authors:
Roger W Byard

Am J Forensic Med Pathol 2019 Mar;40(1):65-67

From the School of Medicine, The University of Adelaide, Adelaide, South Australia, Australia.

A 3-month-old boy presented to hospital in cardiac arrest, dehydrated, with a blood sodium of 158.4 mmol/L. He had been febrile, not feeding normally and refusing fluids. Read More

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http://dx.doi.org/10.1097/PAF.0000000000000440DOI Listing
March 2019
4 Reads

Systematic Review of Drug Packaging Methods in Body Packing and Pushing: A Need for a New Classification.

Am J Forensic Med Pathol 2019 Mar;40(1):27-42

NESMOS Department, School of Medicine and Psychology, Sant'Andrea Hospital, Sapienza - University of Rome, Rome, Italy.

A systematic review of the literature regarding drug packaging methods in body packing and materials used is presented, with the aim (a) to summarize data regarding the packaging methods adopted by drug trafficking organizations, (b) to support forensic pathologists and police forces to classify and describe drug packages, (c) to propose a new classification for drug packaging techniques, and (d) to better clarify the impact of packaging methods on radiological detectability.Packaging methods have been described in 2981 cases, permitting us to summarize the different materials used and to propose a new classification for packaging method based on the materials used. Information concerning the affiliation of body packers and pushers with major (or not) drug trafficking organizations and techniques used to reduce the radiological detectability of the concealed drugs have also been collected. Read More

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http://dx.doi.org/10.1097/PAF.0000000000000436DOI Listing
March 2019
3 Reads

Postmortem Diagnosis of Myocardial Infarction Due to Butane Gas Intoxication in a Child: A Case Report.

Am J Forensic Med Pathol 2019 Mar;40(1):81-83

From the Pathology Department, Forensic Council of Turkey, Ministry of Justice, Istanbul, Turkey.

Volatile substance addiction and toxic gas inhalation are now an important health problem. The pleasure-based inhalation of butane gas, also known as lighter refill gas, is especially prevalent among children and young people. The most important reasons for this situation are that they are cheap and easy to obtain and lack of legal supervision. Read More

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http://dx.doi.org/10.1097/PAF.0000000000000435DOI Listing
March 2019
4 Reads

Nonrheumatoid Fibrinous Pericarditis: A Medical Examiner Algorithm for the Diagnosis of Viral Myocarditis and Use of Molecular Diagnostic Techniques.

Am J Forensic Med Pathol 2019 Mar;40(1):77-80

Department of Pathology, University of Michigan, Ann Arbor, MI.

Classic "bread-and-butter" appearance of fibrinous pericarditis had been described in rheumatic disease and other immunologic diseases such as systemic lupus erythematosus, post-myocardial infarct, uremia, tuberculosis, radiation effects, bacterial, and viral etiology. In most of the described cases, pericarditis occurs as a delayed complication. We present a case of a 21-year-old white woman who was seen in the emergency department to rule out pulmonary embolism for shortness of breath, chest pain, and lightheadedness. Read More

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http://dx.doi.org/10.1097/PAF.0000000000000434DOI Listing
March 2019
4 Reads

Diagnostic Criteria for Commotio Cordis Caused by Violent Attack: Review of the Literature.

Am J Forensic Med Pathol 2018 Dec;39(4):330-336

From the Sezione di Medicina Legale, Dipartimento di Scienze della Sanità Pubblica e Pediatriche, "Università degli Studi di Torino," Torino, Italy.

The diagnosis of lethal commotio cordis (CC) is really complex. The forensic pathologist's task is even more relevant when he/she has to explain a CC diagnosis caused by an assault in a trial. The purpose of this study was to analyze the literature on lethal CC as a result of violent attacks and identify relevant parameters that may help in the diagnosis. Read More

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http://dx.doi.org/10.1097/PAF.0000000000000433DOI Listing
December 2018
2 Reads

Delayed Death Due to Saddle Pulmonary Thromboembolus in Child With Nephrotic Syndrome Induced by Focal Segmental Glomerulosclerosis.

Am J Forensic Med Pathol 2018 Dec;39(4):370-374

From the University of North Dakota School of Medicine and Health Sciences, Grand Forks, ND.

While the characteristic features of nephrotic syndrome (ie, proteinuria, hypoalbuminemia, peripheral edema, and hyperlipidemia) are well known, the association of nephrotic syndrome and the risk of thromboembolic events is not as often appreciated and may be overlooked. This report describes a 10-year-old boy with focal segmental glomerulosclerosis who died following a saddle pulmonary thromboembolus, with near-complete occlusion of the left and right pulmonary arteries. The gross appearance of the thrombus suggested organization and histologic changes within the wall of the pulmonary artery indicated a period of at least 3 or more hours to a few days since the event occurred. Read More

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http://dx.doi.org/10.1097/PAF.0000000000000432DOI Listing
December 2018
5 Reads

Postmortem Hyperthermia: Two Case Reports and a Review of the Literature.

Am J Forensic Med Pathol 2018 Dec;39(4):364-366

Institut de médecine légale de Strasbourg, Université de Strasbourg, Strasbourg, France.

In this daily practice, the forensic pathologist is rarely confronted with postmortem hyperthermia associated with the rapid onset of rigor mortis. We report 2 similar cases where the rectal temperature value taken during the on-scene investigations by the forensic pathologist was greater than 40°C (104°F) in both cases, and rigor mortis was complete within less than 6 hours postmortem. The first case was due to a deadly intoxication by ecstasy and the second one to the deadly association of methadone and a possible neuroleptic malignant syndrome. Read More

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http://dx.doi.org/10.1097/PAF.0000000000000431DOI Listing
December 2018
14 Reads

Genitoanal Injury in Sexually Assaulted Adult Women: Six-Year Retrospective in Bangkok.

Am J Forensic Med Pathol 2018 Dec;39(4):312-324

From the Department of Forensic Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.

Sexual assault persists as a global problem. Even when sexual assault does not result in obvious visible wounds, genitoanal injury must be evaluated because it is often pertinent for legal outcomes. Macroscopic ("naked eye") examination is valuable when colposcope is not available or when patients do not consent. Read More

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http://dx.doi.org/10.1097/PAF.0000000000000430DOI Listing
December 2018
1 Read

An Unusual Murder: Vasovagal Death From Atypical Stabbing to the Neck.

Am J Forensic Med Pathol 2018 Dec;39(4):367-369

From the Department of Legal and Forensic Medicine, University of Genova, Genova, Italy.

Fatalities due to stabbings are usually caused by large blood vessels or organs injuries resulting in hemorrhagic shock. Vagal inhibition from a stab to the neck is an undeniably exceptional event, infrequently described in the literature. In our case report, we describe one such fatality. Read More

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http://dx.doi.org/10.1097/PAF.0000000000000429DOI Listing
December 2018
3 Reads

Childhood Idiopathic Pulmonary Arterial Hypertension Complicated by Esophageal Intubation: A Case Report.

Am J Forensic Med Pathol 2019 Mar;40(1):94-98

From the Department of Pathology, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI.

Childhood idiopathic pulmonary arterial hypertension (CIPAH) represents a rare disorder of childhood characterized by dyspnea, exercise limitation, and syncope. Common organ-specific pathology includes right ventricular myocardial hypertrophy. The case presented represents a classic case of CIPAH, where death was partially attributable to an unrecognized esophageal intubation, which was placed during emergency transport to an emergency department. Read More

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http://dx.doi.org/10.1097/PAF.0000000000000426DOI Listing
March 2019
2 Reads

Horticultural Homicide: Stab Wound to the Chest Masquerading as Impalement by Rose Bush.

Am J Forensic Med Pathol 2018 Dec;39(4):341-344

From the Department of Pathology at the University of Michigan, Ann Arbor; and Wayne County Medical Examiner's Office, Detroit, MI.

Instruments that create stab wounds are required to possess tips of sufficient strength and rigidity to breach the integrity of the skin. Knives, the most common weapons used to create stab wounds, have cutting edges that cleave the skin, leaving unabraded margins. On rare occasions, blunt objects are driven with sufficient force to pierce the skin and become impaled within the body. Read More

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http://dx.doi.org/10.1097/PAF.0000000000000428DOI Listing
December 2018
14 Reads

Forensic Implications of Sternal Bone Marrow Biopsy Fatalities: Autopsy Case Report.

Am J Forensic Med Pathol 2018 Dec;39(4):345-347

Department of Forensic Medicine, Clinical Centre of Montenegro, Faculty of Medicine University of Montenegro, Podgorica, Montenegro.

Iatrogenic penetrating injuries of the thoracic aorta are rare. When surgical treatment is delayed or unavailable, they are associated with high mortality. Herein we present a case of a 36-year-old woman who had a sternal marrow biopsy performed due to laboratory-confirmed pancytopenia. Read More

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http://dx.doi.org/10.1097/PAF.0000000000000425DOI Listing
December 2018
9 Reads

Appearance/Image- and Performance-Enhancing Drug Users: A Forensic Approach.

Am J Forensic Med Pathol 2018 Dec;39(4):325-329

CURML, University Center of Legal Medicine, Lausanne, Switzerland.

Image- and performance-enhancing drugs include a wide range of substances used to promote physical changes to enhance appearance. Anabolic androgen steroids are the most widely used image- and performance-enhancing drugs along with a wide variety of additional substances. The aim of this study was to identify the pathological changes pertaining to the cardiovascular system possibly involved in the death and characterize the substances associated with steroid use and their possible role in the death. Read More

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http://dx.doi.org/10.1097/PAF.0000000000000424DOI Listing
December 2018
17 Reads

A Self-Inflicted Gunshot Wound With an Unusual Hand Injury.

Am J Forensic Med Pathol 2019 Mar;40(1):47-48

From the Department of Pathology and Laboratory Medicine, London Health Sciences Centre; and Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.

Self-inflicted gunshot wounds are a common cause of firearm-related deaths. The appearance and location of the entry wound, other concomitant findings at autopsy, and correlation with the scene and circumstances are critical in determining the manner of death. A case of a 72-year-old man with a self-inflicted gunshot wound with an unusual injury pattern is described. Read More

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http://dx.doi.org/10.1097/PAF.0000000000000427DOI Listing
March 2019
2 Reads

An Autopsy Case of Injuries Caused by Automobile Dragging for a Distance of 3.4 km Without Thoracoabdominal Organ Injuries.

Am J Forensic Med Pathol 2018 Dec;39(4):348-350

Department of Legal Medicine, Graduate School of Medicine, Yokohama City University, Yokohama, Japan.

Dragging injuries caused by automobiles involved in an accident are occasionally reported; however, those without injury to the thoracoabdominal organs are rare. We present an autopsy case of a man in his 20s found dead on the road after being dragged by a passenger automobile for a distance of 3.4 km. Read More

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http://dx.doi.org/10.1097/PAF.0000000000000423DOI Listing
December 2018
4 Reads

The Importance of Distinguishing Menstrual and Peripheral Blood in Forensic Casework: A Case Report.

Am J Forensic Med Pathol 2018 Dec;39(4):337-340

From the Department of Molecular Medicine, University of Padova, Padova, Italy.

This report presents a case of an 18-year-old woman found unconscious by police officers outside a club suspected to be victim of a sexual assault. She was not able to give information about the dynamics of the assault, since she was under the effect of a high amount of alcohol. She affirmed to be virgin. Read More

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http://dx.doi.org/10.1097/PAF.0000000000000414DOI Listing
December 2018
5 Reads

Pilsicainide Poisoning: An Autopsy Case and Review of Literature.

Am J Forensic Med Pathol 2018 Dec;39(4):357-359

From the Department of Legal Medicine, University of the Ryukyus Graduate School of Medicine, Okinawa, Japan.

We describe an autopsy case of fatal poisoning due to accidental overdose of pilsicainide, which is a Vaughan Williams class IC antiarrhythmic drug (a pure sodium channel blocker). A man in his 50s was found dead in his home at approximately noon. He had ischemic heart disease and insomnia, and had previously demonstrated improper prescription drug adherence. Read More

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http://dx.doi.org/10.1097/PAF.0000000000000422DOI Listing
December 2018
17 Reads

Differences in Sampling Site on Postmortem Cerebrospinal Fluid Biochemistry: A Preliminary Study.

Am J Forensic Med Pathol 2018 Dec;39(4):304-308

Forensic Pathology, and.

Cerebrospinal fluid (CSF) is often analyzed at postmortem. The presented preliminary study compared postmortem CSF samples for biochemical analysis from the subarachnoid space around the spinal cord and ventricular space of the brain. This study compared 15 paired CSF samples in which the CSF from the subarachnoid space via lumbar puncture had higher sodium and chloride levels and lower magnesium and potassium levels than CSF from the ventricles. Read More

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http://dx.doi.org/10.1097/PAF.0000000000000420DOI Listing
December 2018
6 Reads

Fatal Transorbital Intracranial Penetrating Injury Due to a Bicycle Brake Handle.

Am J Forensic Med Pathol 2018 Sep;39(3):253-256

From the Departments of Forensic Medicine and Toxicology, and.

Transorbital intracranial injuries are uncommon and mostly accidental in nature. These injuries are usually associated with high mortality. The key to preventing this mortality involves an early diagnosis of intracranial injuries and immediate and appropriate management. Read More

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http://dx.doi.org/10.1097/PAF.0000000000000419DOI Listing
September 2018
28 Reads

Empty Delta Sign on Unenhanced Postmortem Computed Tomography Scan in Cerebral Venous Thrombosis.

Am J Forensic Med Pathol 2018 Dec;39(4):360-363

Department of Forensic Pathology, LabPLUS, Auckland City Hospital.

Cerebral venous thrombosis is a rare condition which constitutes 0.5% to 2% of all types of stroke and carries a mortality of up to 20% to 50%. It leads to cerebral edema, infarction, hemorrhage and venous hypertension. Read More

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http://dx.doi.org/10.1097/PAF.0000000000000421DOI Listing
December 2018
4 Reads

Emergency Department Documentation of Alleged Police Use of Excessive Force in Cases Where Formal Complaints Are Ultimately Filed.

Am J Forensic Med Pathol 2018 Dec;39(4):309-311

Department of Criminal Justice, Seattle University, Seattle, WA.

Background: Emergency physicians encounter patient concerns of police use of excessive force (UOEF). However, unlike other forms of potential assault, there are no guidelines for documentation of these encounters. Our objective was to examine the adequacy of emergency department documentation of injuries from police encounters where formal complaints of UOEF were later filed with the law enforcement agency. Read More

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http://dx.doi.org/10.1097/PAF.0000000000000418DOI Listing
December 2018
1 Read

Physical Findings Mimicking Sexual Abuse in a Drowning Patient Who Was Treated in the Intensive Care Unit: A Report on a Fatal Case.

Am J Forensic Med Pathol 2018 Dec;39(4):351-353

Erzurum Regional Center, The Council of Forensic Medicine, The Ministry af Justice, Erzurum, Turkey.

Specific or nonspecific findings of sexual abuse may be observed upon examination of a child. Examination of the genital area is extremely important for the identification of child sexual abuse (CSA). However, medical conditions detected in the child's genital area may be misinterpreted as signs of CSA. Read More

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http://dx.doi.org/10.1097/PAF.0000000000000416DOI Listing
December 2018
7 Reads

Sudden Death as a Sequel of Ruptured Giant Coronary Artery Aneurysm in Kawasaki Disease.

Am J Forensic Med Pathol 2018 Dec;39(4):375-377

Department of Pathology, Xinjiang Medical University, Urumqi, Xinjiang, China.

This article reports a case of Kawasaki disease (KD) and its rapid fatal course in a 5-year-old boy, who 3 days before hospitalization demonstrated fever and diffuse erythema in the face, neck, and torso, as well as swelling and pain below the right earlobe. During the admission, he was diagnosed with mumps and suspected scarlet fever. Abnormal laboratory findings included elevated values of procalcitonin, C-reactive protein, and interleukin 6. Read More

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http://dx.doi.org/10.1097/PAF.0000000000000417DOI Listing
December 2018
21 Reads

Methicillin-Resistant Staphylococcus aureus Parotitis Leading to Mortality in an Adolescent Male.

Am J Forensic Med Pathol 2018 Sep;39(3):257-260

A case of toxic shock syndrome associated with methicillin-resistant Staphylococcus aureus parotitis in a 13-year-old male is presented. He was initially diagnosed with left-sided parotitis by his primary care physician, was started on sulfamethoxazole/trimethoprim, and became severely ill the following day. He was transported to the hospital after a syncopal episode at home and was found to have altered mental status, hypotension, and hypoxia. Read More

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http://dx.doi.org/10.1097/PAF.0000000000000415DOI Listing
September 2018
18 Reads