Houldsworth G, James R A, Gilbert J D, Byard R W
Forensic Science Centre, Adelaide, South Australia, Australia.
Leg Med (Tokyo). 2000 Dec;2(4):221-3. doi: 10.1016/s1344-6223(00)80045-0.
An 82 year old woman was found unexpectedly dead in bed on the day of admission to hospital for the investigation of difficulty breathing. During a barium swallow examination after admission she was thought to have aspirated contrast material. At autopsy a large posterior lingual abscess was found, with barium in the airways. Death was attributed to a combination of upper airway narrowing associated with the abscess, chronic lung disease and possible aspiration of barium. This case demonstrates an unusual sequence of events associated with localised upper airway sepsis. It also confirms the importance of careful examination of the upper aerodigestive tract at autopsy in individuals of all ages.
一名82岁女性在因呼吸困难入院检查当天被意外发现死于床上。入院后进行钡餐检查时，她被认为吸入了造影剂。尸检发现舌后有一个大脓肿，气道内有钡剂。死亡原因是脓肿导致的上呼吸道狭窄、慢性肺病以及可能的钡剂吸入共同作用。该病例显示了与局限性上呼吸道脓毒症相关的不寻常事件序列。它也证实了在各年龄段个体尸检时仔细检查上消化道的重要性。
