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
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.
