RESUMEN
By studying the number and method of homicidal poisoning in Miami-Dade County, Florida; New York City, NY; Oakland County, Michigan; and Sweden, we have confirmed that this is an infrequently established crime.Several difficulties come with the detection of homicidal poisonings. Presenting symptoms and signs are often misdiagnosed as natural disease, especially if the crime is committed in a hospital environment, suggesting that an unknown number of homicides go undetected.In the reported cases analyzed, the lethal agent of choice has changed over the years. In earlier years, traditional poisons such as arsenic, cyanide, and parathion were frequently used. Such poisonings are nowadays rare, and instead, narcotics are more commonly detected in victims of this crime.
Asunto(s)
Homicidio/estadística & datos numéricos , Intoxicación/mortalidad , Adulto , Intoxicación por Arsénico/mortalidad , Intoxicación por Monóxido de Carbono/mortalidad , Cáusticos/envenenamiento , Eutanasia Activa/estadística & datos numéricos , Femenino , Toxicología Forense , Humanos , Drogas Ilícitas/envenenamiento , Masculino , Preparaciones Farmacéuticas , Cloruro de Potasio/envenenamiento , Estudios Retrospectivos , Distribución por Sexo , Suecia , Estados UnidosRESUMEN
Eosinophilic coronary monoarteritis is a rare condition of unexplained etiology involving selectively the left anterior descending coronary artery. This is a peculiar subset of the general pathoanatomic substrate of spontaneous coronary artery dissection. Dissection of the arterial wall ensues, complicated by acute coronary thrombosis and results in sudden death without any identifiable clinical features for a premortem diagnosis. Two recently investigated unrelated sudden deaths of young, otherwise completely healthy individuals, a white male and a white female, in the Oakland County Medical Examiner's Office prompted this report and a scrutiny of the related literature.
Asunto(s)
Disección Aórtica/patología , Arteritis/complicaciones , Aneurisma Coronario/patología , Muerte Súbita/etiología , Eosinofilia/complicaciones , Adulto , Disección Aórtica/etiología , Arteritis/patología , Aneurisma Coronario/etiología , Trombosis Coronaria/patología , Vasos Coronarios/patología , Eosinofilia/patología , Femenino , Patologia Forense , Humanos , Masculino , Isquemia Miocárdica/patología , Edema Pulmonar/patología , Esplenomegalia/patologíaRESUMEN
To examine the proximate circumstances of sudden cardiac death (SCD) in the setting of major snowstorms, we reviewed records from the medical examiners' offices of 3 counties in the weeks before, during, and after 2 heavy snowfalls that occurred in the greater metropolitan Detroit area. Of those who experienced SCD due to atherosclerotic cardiovascular disease (n = 271), 36 (33 men, 3 women) were engaged in snow removal, representing the largest number of exertion-related deaths after heavy snowfalls reported to date.
Asunto(s)
Muerte Súbita Cardíaca/epidemiología , Esfuerzo Físico , Nieve , Distribución por Edad , Anciano , Femenino , Humanos , Incidencia , Masculino , Michigan/epidemiología , Persona de Mediana Edad , Valores de Referencia , Distribución por SexoRESUMEN
A 34-year-old, previously healthy man died suddenly and unexpectedly. The autopsy showed brain and pulmonary edema, numerous small meningeal meningiomas, bilateral and symmetrical juxtaventricular meningiomas, and a well-demarcated gray tan tumor in the medulla oblongata and upper cervical spinal cord. The latter tumor was a subependymoma with features of ependymoma in places. The authors describe and discuss the characteristics of this rare central nervous system tumor, its histogenesis, and its coexistence with other intracranial tumors. The possible mechanisms of death in the present case include compression of vital centers and acute obstruction of the cerebrospinal fluid flow.
