Töro Klára, Mészáros Arpád, Keller Eva
Department of Forensic Medicine, Semmelweis University Budapest, Ulloi út 93, 1091 Budapest, Hungary.
J Forensic Sci. 2008 Jul;53(4):962-4. doi: 10.1111/j.1556-4029.2008.00763.x.
The emergence of drug-resistant tuberculosis (TB) poses a major threat to TB control efforts. We report a case of a 50-year-old man with pulmonary TB. The scene investigation had initially suspected for homicide; however, the result of medico-legal autopsy demonstrated natural cause of death. Statistical data suggest that the rates of national mortality by respiratory TB decreased in the last decades in Hungary; however, an increasing TB mortality was detected in the capital Budapest. Facing a new mortality trend in TB, the forensic scene investigation and determination of manner of death represent new challenges for practitioners.
耐多药结核病的出现对结核病控制工作构成了重大威胁。我们报告一例50岁男性肺结核病例。现场勘查最初怀疑为他杀；然而，法医尸检结果显示为自然死亡原因。统计数据表明，匈牙利过去几十年中因呼吸道结核病导致的全国死亡率有所下降；然而，在首都布达佩斯却发现结核病死亡率呈上升趋势。面对结核病新的死亡率趋势，法医现场勘查和死亡方式的判定给从业者带来了新的挑战。
