Murphy G K
Miami Valley Hospital.
Am J Forensic Med Pathol. 1987 Sep;8(3):259-62. doi: 10.1097/00000433-198708030-00013.
An uncommon type of homicide resulted from complications of an ordinarily nonfatal injury after a 59-year-old obese, hypertensive, diabetic man was struck in the face with a two-by-four, sustaining a grossly contaminated laceration. It was cleaned and sutured primarily, and a tetanus booster was given. On the fourth hospital day there was evidence of anerobic wound cellulitis, including Clostridium tetani. The wound was surgically debrided, but 2 days later the patient developed local tetanus. Only then was it discovered that he had never been immunized against tetanus. He did not develop systemic tetanus, but 2 days later he died with bronchopneumonia and sepsis. The assailant was indicted for involuntary manslaughter, but after a contentious trial he pleaded "no contest" to a reduced charge. The decedent was a vulnerable host, his contaminated facial laceration initiating an unbroken course of events that led to his death.
一名59岁的肥胖、患有高血压和糖尿病的男子被一根两英寸见方的木条击中面部，造成严重污染的撕裂伤，一种不常见的杀人类型是由这种通常不会致命的伤害引发的并发症导致的。伤口初步进行了清洗和缝合，并注射了破伤风加强针。在住院的第四天，出现了包括破伤风梭菌在内的厌氧性伤口蜂窝织炎的迹象。伤口进行了外科清创，但两天后患者出现了局部破伤风。直到那时才发现他从未接种过破伤风疫苗。他没有发展为全身性破伤风，但两天后死于支气管肺炎和败血症。袭击者被控过失杀人，但经过一场有争议的审判后，他对一项减轻的指控表示“不抗辩”。死者是一个易感染宿主，他面部受污染的撕裂伤引发了一系列导致他死亡的连续事件。
