D'Ovidio Cristian, Rosato Enrica, Bonelli Martina, Carnevale Aldo, Marsella Luigi T
1 Section of Legal Medicine, Department of Medicine and Aging Sciences, 'G. d'Annunzio' University of Chieti-Pescara, Italy.
2 Department of Biomedicine and Prevention, 60259 Section of Forensic Medicine, Social Security and Forensic Toxicology, Tor Vergata University of Rome, Italy.
Med Sci Law. 2018 Jan;58(1):55-57. doi: 10.1177/0025802417747430. Epub 2017 Dec 28.
The case reported involved a 60-year-old man with psychiatric illness who was found dead at his home. He was almost naked and showed signs of death by violent asphyxiation, which led to the suspicion of homicide. Autopsy findings showed foreign material in the trachea and larynx. However, the partially digested content in his stomach, the study of the gastric content and the microscopic analysis of the airways made it possible to define this as accidental death due to inhalation of material from a diaper. Toxicological analysis detected the presence of phenytoin, valproic acid, and phenobarbital in his blood, with values within the therapeutic ranges. This is certainly a peculiar case, as particularly evident after careful review of the literature on deaths by asphyxiation in psychiatric patients. Furthermore, this study highlights the importance of a full autopsy and microscopic evaluation of any foreign bodies.
该报告的病例涉及一名患有精神疾病的60岁男子，他被发现死于家中。他几乎全身赤裸，有暴力窒息死亡的迹象，这引发了他杀的怀疑。尸检结果显示气管和喉部有异物。然而，他胃内部分消化的内容物、胃内容物研究以及气道的显微镜分析使得将其定义为因吸入尿布中的物质导致的意外死亡成为可能。毒理学分析在他的血液中检测到苯妥英、丙戊酸和苯巴比妥的存在，其值在治疗范围内。这无疑是一个特殊的案例，在仔细查阅有关精神病患者窒息死亡的文献后尤为明显。此外，这项研究强调了对任何异物进行全面尸检和显微镜评估的重要性。
