scholarly journals First Confirmed SARS-CoV-2 Related Deceased in Ethiopia on Post-mortem Examination and the Context Confronted in Limited Forensic Pathology Centre: case report.

Author(s):  
Ibrahim Jibril Adem ◽  
Alemayehu Shiferaw ◽  
Evi Untoro ◽  
Emilio Nuzzolese

Abstract A 55-year-old male was found dead in the church of Kefa Zone, Southern Nation and Nationality People Region, the local area of Ethiopia about 500 km away from the only available national forensic centre in Addis Ababa, Ethiopia. He had no medical history of comorbidity or medicine prescribed previously as well as no contact history with COVID-19 cases. Also, no travel history to Addis Ababa, which has an epicenter of COVID- 19 high burden cases, and no living individuals reported cases of COVID-19 patients in local residence of the deceased. The National COVID-19 emergency operating team already decided to do postmortem surveillance and collect nasopharyngeal or oropharyngeal swabs for SARS-CoV-2 on all the dead bodies submitted to the mortuary for postmortem examination. For this case and other cases on that day postmortem nasopharyngeal swabs collected and sent for RT-PCR COVID19. Test confirmed COVID-19 positive for this deceased one day after the body handed over to family and transported back to residence of the deceased. The external post-mortem examination revealed an emaciated middle-age adult male with rigor mortis on lower extremity and non- blanching livor mortis on the back of the body. There was no evidence of recent injury. On internal examination pleural adhesions were present on anterior and posterior aspect of left lung. The left lung extensively necrotized, collapsed and weighs about 280grams. Right lung was dark red in color, consolidated, weighs 450 grams, patchy petechial hemorrhages on the pleural surface. No viscera preserved for microbiology, virology, histopathology, or immunohistochemistry tests as these facilities are not available in our set up. With the pandemic impact of SARS-COV-2, a range of issues unfolds, also during autopsies, as we report the first Ethiopian case of fatal SARS-COV-2 pneumonia confirmed on post-mortem examination.

The Lancet ◽  
1876 ◽  
Vol 107 (2751) ◽  
pp. 756-757
Author(s):  
J.F. Payne

Author(s):  
Kirti Sharma ◽  
S. R. Inchulkar ◽  
Yuvraj Kaushik

Arsenic is a grey substance, which is insoluble in water and therefore cannot be absorbed from the alimentary canal. Arsenic is absorbed through all routes mainly by skin, inhalation and GIT mucosa. Arsenic causes toxicity by combining with sulphydryl enzymes and thus interfering with cell metabolism. Locally it causes irritation of the mucous membranes and remotely depression of the nervous system. Arsenic poisoning can be homicidal, suicidal, accidental, occupational, environmental, iatrogenic or un-iatrogenic. The character of post-mortem appearances depends very largely upon the quantity taken and period which has elapsed before death. Externally the body presents dehydrated, cyanosed, sunken eyeballs jaundiced in post-mortem findings. Rigor mortis lasts longer than usual. Internally red velvet stomach, petechial hemorrhages under the endocardium of the left ventricle, patchy fatty degenerative changes with jaundice in liver, rain drop skin pigmentation and mee’s line in nails findings seen in post-mortem.


e-CliniC ◽  
2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Reynaldo B. Umboh ◽  
Nola T. S. Mallo ◽  
Erwin G. Kristanto

Abstact: Death can be identified by using advanced signs of death as follows: postmortem lividity (livor mortis), rigor mortis, decomposition, mummification, and adipocere. Postmortem lividity occurs right after clinical signs of death. Erythrocytes will accumulate to the lowest area of the body due to gravity, fill the veins and venules, and then form reddish purple spots called lividity. This study aimed to find the effect of hemoglobin level on colors indicating postmortem lividity and the time when the lividity vanishes due to pressure. This study used a cross-sectional design and was carried out at Prof. Dr. R. D. Kandou Hospital Manado from October to December 2015. In this study, pressure was given to the livor mortis of the deceased patients. Hemoglobin levels were obtained from the medical records. The results showed that there was a statistically significant effect of hemoglobin levels on the vanishing time of livor mortis (p<0.05, p=0.040), meanwhile there was no significant effect of hemoglobin levels on the colors indicating livor mortis (constant). Additional samples with more accurate instrument for measuring the differences in colors and periodical documentation with videos are recommended for further studies. Keywords: hemoglobin postmortem lividity (livor mortis) Abstrak: Kematian dapat dikenal pada seseorang melalui adanya tanda-tanda kematian lanjut berupa lebam mayat, kaku mayat, pembusukan, mumifikasi dan adiposera. Lebam mayat (livor mortis) terjadi setelah kematian klinis. Eritrosit akan menempati tempat terbawah akibat gaya gravitasi, mengisi vena dan venula, membentuk bercak warna merah ungu (livide) pada bagian terbawah tubuh. Penelitian ini bertujuan untuk melihat pengaruh kadar hemoglobin terhadap warna lebam mayat dan hilangnya (detik) ketika diberi penekanan. Jenis penelitian potong lintang. Penelitian dilakukan di RSUP Prof. Dr. R. D. Kandou Manado pada bulan Oktober – Desember 2015 dengan mengamati dan menekan lebam mayat pasien meninggal. Data rekam medis pasien ditelusuri untuk melihat kadar hemoglobin. Hasil penelitian menunjukkan terdapat pengaruh kadar hemoglobin terhadap hilangnya lebam mayat pada penekanan (p<0,05 atau p=0,040) dan tidak ada pengaruh kadar hemoglobin terhadap warna lebam mayat (livor mortis) = konstan. Disarankan untuk penelitian selanjutnya agar menggunakan sampel yang lebih banyak dengan penggunaan alat ukur warna maupun alat ukur untuk melakukan penekanan serta melakukan dokumentasi foto ataupun video secara berkala.Kata kunci: hemoglobin, lebam mayat (livor mortis)


2020 ◽  
Vol 17 (3) ◽  
pp. 37-40
Author(s):  
S. E. Abalaka ◽  
N. A. Sani ◽  
I. S. Idoko ◽  
O. Z. Tenuche ◽  
S. A. Ejeh

Post-mortem examination was carried out on a 2-week old male Friesian crossbred calf to determine the cause of death. The body condition of the calf was fair with pale mucous membranes. There was petechial to ecchymotic epicardial haemorrhages with mild hydroperitoneum and hepatomegaly. The enlarged rumen contained a large amount of white offensive rancid-smelling curdled milk mixed with watery content while the abomasum contained some sand sediment. A diagnosis of acute ruminal drinking was made based on the calf's age, reportedly feeding entirely on milk ration, and the presence of a large amount of curdled milk in the rumen. Early diagnosis and the treatment of underlying pathological conditions, correction of predisposing management practices, and rumenostomy are some of the ante-mortem ways to combat and improve the prognosis of the condition in affected calves.   


2021 ◽  
pp. 002580242110202
Author(s):  
Devendra Jadav ◽  
Rutwik Shedge ◽  
Tanuj Kanchan ◽  
Vikas Meshram ◽  
Pawan Kumar Garg ◽  
...  

Forensic age estimation is a crucial aspect of the biological profile of unidentified cadavers. The utility of age-related changes of hyoid bone fusion in forensic age estimation has not been explored much in the past. These age-related changes can be visualised in both the living and the dead using conventional radiography. These changes can assist medico-legal professionals and forensic anthropologists in the identification of unknown deceased, especially when the cadaver is mutilated or charred or when the other well-established indicators of skeletal and dental maturity are absent. The aims of this study were to evaluate age-related changes in the hyoid bone and to ascertain whether these changes may be utilised for age estimation in forensic examinations. The hyoid bone was carefully dissected using a standard procedure from 75 cadavers during post-mortem examination. The hyoid bone was radiographed, and the bone was replaced in the body cavity before the post-mortem examination was completed. Hyoid bone fusion was studied by using a standard grading method. Spearman’s correlation coefficient was calculated between the fusion scores and chronological age to assess their relationship. Box and whisker plots of fusion stage-wise age distribution were constructed to demonstrate the gradual linear relationship between hyoid bone fusion and the chronological age of the study participants. The present study concludes that hyoid bone fusion is an indicator of the chronological age of an individual and can be used in conjunction with other methods of age estimation such as the skeletal and dental age.


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