The American Journal of Forensic Medicine and Pathology This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Nontraumatic In-Custody Homicidal Deaths in Harris County, Texas (2015–2019): Justification for a Separate Manner of Death Category
A subset of in-custody deaths, typically occurring in the precustody phase, arise from a combination of mechanisms, rather than a single anatomically or circumstantially demonstrable cause. This case series examined nontraumatic in-custody deaths that occurred over a 5-year period (2015–2019) in Harris County, Texas. Cases were identified as “in custody” or “during police intervention,” with a homicide manner; traumatic causes of death (eg, police shootings) were excluded. (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - December 1, 2021 Category: Forensic Medicine Tags: Case Reports Source Type: research

Kratom-Associated Fatalities in Northern Nevada—What Mitragynine Level Is Fatal?
This study aims to establish a potential lethal range for mitragynine, the active compound in kratom, by investigating the toxicology reports of 35 deaths in Northern Nevada between 2015 and 2020. Mitragynine concentrations ranged from 8.7 to 1800 ng/mL (n = 27) in cases with drug toxicity as the cause of death; in 1 case, the sole intoxicant was mitragynine with a blood concentration of 950 ng/mL. In cases with nonmitragynine causes of death, the concentration was 110 to 980 ng/mL (n = 8). There was no statistically significant difference in blood concentrations between cases where mitragynine was not listed as a cause of...
Source: The American Journal of Forensic Medicine and Pathology - December 1, 2021 Category: Forensic Medicine Tags: Original Articles Source Type: research

Completely Ossified Bilateral Stylohyoid Ligaments in a Patient Undergoing Hemodialysis
No abstract available (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - December 1, 2021 Category: Forensic Medicine Tags: Illustrated Forensic Pathology Source Type: research

Terminal Ileum Perforation: A Rare Complication of Verocytotoxigenic: Escherichia coli: Infection in an Adult With Prader-Willi Syndrome
We report a death from terminal ileum perforations in an adult who had PWS and was infected with VTEC. Potential reasons why the perforation occurred at this rare location, rather than in other more common location, in an adult are discussed. (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - December 1, 2021 Category: Forensic Medicine Tags: Illustrated Forensic Pathology Source Type: research

Sudden Death Due to Ruptured Cardiac Hydatid Cyst of the Right Ventricle
No abstract available (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - December 1, 2021 Category: Forensic Medicine Tags: Illustrated Forensic Pathology Source Type: research

Construction of Accurate Medical Risk Profiles for Venomous Snakes Requires Correct Identification of the Envenoming Species
No abstract available (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - December 1, 2021 Category: Forensic Medicine Tags: Letters to the Editor Source Type: research

Issues With Snake Identification
No abstract available (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - December 1, 2021 Category: Forensic Medicine Tags: Letters to the Editor Source Type: research

Electrocution: Direct-Current Dogma Dies Hard
No abstract available (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - December 1, 2021 Category: Forensic Medicine Tags: Letters to the Editor Source Type: research

The Relationship Between Earlobe Creases and the Presence, Extent, and Severity of Coronary Artery Atherosclerosis: Points to Ponder
No abstract available (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - December 1, 2021 Category: Forensic Medicine Tags: Letters to the Editor Source Type: research

Fatal Sea Snake Envenomation
A 23-year-old man working on a prawn trawler off the Northern Australian coast was bitten on the right hand by a black-banded sea snake (Laticauda colubrina), resulting in the rapid onset of ptosis, blurred vision, and respiratory difficulties with convulsions, loss of consciousness, and death. Resuscitation was unsuccessful. No antivenom was available because of the remote location. At autopsy, a small puncture wound was identified on the middle interphalangeal joint of the right little finger. No other significant abnormalities were detected. Elevations in creatine kinase (1558 μ/L) and myoglobin (24,800 μg/L) levels w...
Source: The American Journal of Forensic Medicine and Pathology - December 1, 2021 Category: Forensic Medicine Tags: Case Reports Source Type: research

A Recreational Fishing Death Due to a Jumping Spanish Mackerel (Scomberomorus commerson)
We report the case of a 56-year-old man who died of blunt force chest and abdominal trauma after impact with a large Spanish mackerel (Scomberomorus commerson) that had jumped into his recreational fishing boat. Injuries at autopsy included soft tissue bruising with fractured ribs, a ruptured diaphragm, intestinal and mesenteric contusions, contusion and disruption of the pancreas, and hilar splenic lacerations with a left-sided hemothorax and a hematoperitoneum. The clear temporal association of pain and progressive deterioration leading to cardiac arrest after the impact indicated that lethal injuries had been sustained....
Source: The American Journal of Forensic Medicine and Pathology - December 1, 2021 Category: Forensic Medicine Tags: Case Reports Source Type: research

Death Due to Adrenal Crisis: Case Report and a Review of the Forensic Literature
Adrenal crisis is a life-threatening manifestation of acute adrenal insufficiency. One of the most important underlying causes is Addison disease (primary adrenal insufficiency). (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - December 1, 2021 Category: Forensic Medicine Tags: Case Reports Source Type: research

An Autopsy Case of Spontaneous Coronary Artery Dissection With Eosinophilic Coronary Periarteritis and Degeneration of Medial Smooth Muscles
A 45-year-old woman with no known medical history died suddenly shortly after complaining of anterior chest discomfort. The autopsy revealed a dissection at the anterior descending branch of the left coronary artery, and eosinophilic adventitial inflammation was observed both in the right coronary artery and in the vicinity of the dissection. Furthermore, there was degeneration of the tunica media in the right coronary artery, and this was thought to be a predissection lesion. In the degenerated area of the tunica media, probable apoptosis of smooth muscle cells was noted, suggesting that the degeneration was not due only ...
Source: The American Journal of Forensic Medicine and Pathology - December 1, 2021 Category: Forensic Medicine Tags: Case Reports Source Type: research

Forensic Neuropathologic Phenotypes of Fungal Central Nervous System Infections: A Case Series
We present a case series of 3 patients, each infected by 1 representative species from each of the 3 fungal groups (Aspergillus species, Blastomyces species, Candida species) to illustrate different neuropathologic phenotypes of FI-CNS. All 3 patients had no history of immunodeficiency and were not suspected to have FI-CNS until they were diagnosed at autopsy. Fungal infections of the central nervous system are often fatal due to delayed diagnosis and diagnostic testing. Awareness of such poly-phenotypic manifestations of FI-CNS will be helpful in reducing delayed diagnosis. It is important for clinicians to include FI-CNS...
Source: The American Journal of Forensic Medicine and Pathology - December 1, 2021 Category: Forensic Medicine Tags: Case Reports Source Type: research

A Rare Case of Fatal Self-Poisoning With Sodium Nitrite: Autopsy and Toxicological Findings
Fatal sodium nitrite poisonings are unusual in the forensic setting. Suicide by poisoning includes drug overdose, the inhalation of toxic gasses, and poisoning from pesticides and chemical substances. Sodium nitrite is an inorganic compound usually seen as a crystalline powder that is very water soluble. Sodium nitrite is used mostly in the food industry (as a preservative) and in medical field (as an antidote to cyanide poisoning), and if ingested in large enough amounts, it can be fatal. (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - December 1, 2021 Category: Forensic Medicine Tags: Case Reports Source Type: research