RESUMO
An unusual form of fatal child abuse is reported in which investigations by the police and the medical examiner were able to distinguish blunt force head trauma followed by postmortem dismemberment from a fatal dog attack. A discussion of the approaches used to ascertain the correct diagnosis is presented, as well as an overview of dog attacks on humans.
Assuntos
Mordeduras e Picadas/diagnóstico , Maus-Tratos Infantis/diagnóstico , Cães , Homicídio , Crânio/lesões , Adulto , Animais , Diagnóstico Diferencial , Evolução Fatal , Feminino , Humanos , Recém-Nascido , MasculinoRESUMO
Intraaortic balloon counterpulsation is currently the most widely used mechanical technique for temporary support of the circulation. We report a rare fatal case of perforation of the right common iliac artery during percutaneous insertion of an IABP.
Assuntos
Balão Intra-Aórtico/efeitos adversos , Idoso , Arteriosclerose/cirurgia , Evolução Fatal , Humanos , MasculinoRESUMO
A case of sudden death due to massive myocardial sarcoidosis is presented. Cardiac sarcoidosis is discussed. Since the deceased was a New York City police officer with death benefit entitlements under the Heart Bill, the implications of the medicolegal autopsy are emphasized.
Assuntos
Morte Súbita Cardíaca/etiologia , Cardiopatias/complicações , Sarcoidose/complicações , Adulto , Evolução Fatal , Medicina Legal , Cardiopatias/patologia , Humanos , Masculino , Sarcoidose/patologiaRESUMO
Cardiac concussion, previously known as commotio cordis, occurs in structurally normal hearts without gross or microscopic injury to the myocardium, cardiac valves, or coronary arteries, as opposed to other sports-related deaths known to occur more frequently in structural or congenital heart disease. We describe the sudden cardiac death of a 2-year-old child, who died as a result of a blunt force impact to the chest. A thorough medicolegal investigation was necessary to determine that the child died as a result of foul play.
Assuntos
Morte Súbita Cardíaca/etiologia , Homicídio , Traumatismos Torácicos/complicações , Ferimentos não Penetrantes/complicações , Humanos , Lactente , MasculinoRESUMO
Infectious mononucleosis (IM) is a disease traditionally defined by a triad of clinical, laboratory, and serologic factors. It is typically a benign, self-limited disease of children and young adults. Upper airway obstruction is a rare but potentially fatal complication of IM resulting from massive tonsillar enlargement, pharyngeal edema, or both. We report a case of sudden death due to airway obstruction in IM.
Assuntos
Obstrução das Vias Respiratórias/complicações , Asfixia/etiologia , Morte Súbita/etiologia , Mononucleose Infecciosa/complicações , Adolescente , Obstrução das Vias Respiratórias/patologia , Asfixia/patologia , Dexametasona/uso terapêutico , Evolução Fatal , Feminino , Humanos , Mononucleose Infecciosa/patologia , Tonsilite/complicações , Tonsilite/tratamento farmacológicoRESUMO
Carcinoid heart disease occurs in approximately half of patients who have carcinoid syndrome and is the leading cause of death among these patients. It is typically manifest as right-sided valvular lesions, usually tricuspid insufficiency and pulmonary valve stenosis. This case report describes the unusual presentation of a patient with carcinoid heart disease and a large right-to-left shunt through a patent foramen ovale.
Assuntos
Insuficiência da Valva Aórtica/complicações , Doença Cardíaca Carcinoide/complicações , Comunicação Interatrial/complicações , Hipóxia/etiologia , Insuficiência da Valva Tricúspide/complicações , Adulto , Doença Cardíaca Carcinoide/diagnóstico por imagem , Doença Cardíaca Carcinoide/cirurgia , Circulação Coronária , Evolução Fatal , Comunicação Interatrial/diagnóstico por imagem , Comunicação Interatrial/cirurgia , Humanos , Masculino , UltrassonografiaAssuntos
Maus-Tratos Infantis , Medicina Legal , Homicídio , Humanos , Lactente , Recém-Nascido , Fatores de TempoRESUMO
BACKGROUND: Anaphylaxis is the most common systemic allergic reaction caused by stinging insects. Serum sickness reactions occur much less frequently. OBJECTIVE: To determine the level of venom-specific IgG and IgE antibodies during and after a serum sickness reaction to vespid venom. METHODS: Case report; ELISA determination of venom-specific IgG and IgE; complement levels and tests for immune complexes were performed. RESULTS: We report the case of a 66-year-old woman who developed a serum sickness reaction nine days after receiving multiple vespid stings. She developed urticaria, angioedema, fever, and arthralgias. She had elevated IgG and IgE venom-specific titers which declined during the recovery phase. Complement levels were normal and tests for immune complexes were negative. She was successfully treated with venom-specific immunotherapy without any serum sickness reaction. CONCLUSIONS: A serum sickness reaction with elevated venom-specific IgG and IgE is reported with successful immunotherapy.
Assuntos
Mordeduras e Picadas de Insetos/complicações , Doença do Soro/etiologia , Venenos de Vespas/imunologia , Vespas , Idoso , Animais , Feminino , Humanos , Imunoglobulina E/sangue , Imunoglobulina G/sangueRESUMO
A homicide case in which intact spermatozoa were found in the oral cavity of the deceased forty days after his disappearance is reported. The victim's partially frozen body was found outdoors in a wooded area of upstate New York during the month of January. During a subsequent investigation, pieces of eyeglass lens fragments and bloodstains were found in the suspect's house and vehicle. Chemical and optical analyses of the lens fragments are presented as well as results of the serological tests.
