Albano Giuseppe D, Malta Ginevra, Alongi Alberto, Rifiorito Arianna, Cannella Giovanni, Palmeri Mattia, Malandrino Giuliana, Argo Antonina, Zerbo Stefania
Medico-legal Unit, University Hospital "Giaccone", PROMISE Department, University of Palermo, Italy.
Med Leg J. 2023 Sep;91(3):159-163. doi: 10.1177/00258172231165137. Epub 2023 Jun 8.
A 6-year-old girl was brought to the emergency department with a history of an accidental fall a few days earlier. She presented with a fever, cough and constipation. Sars-CoV-2 infection being suspected, she was transferred to a paediatric facility for Covid-positive patients. During the diagnostic process, the clinical picture suddenly deteriorated with the development of bradycardia, tachypnea and altered sensorium. Despite cardiopulmonary resuscitation attempts, the child died about 16 hours after admission to the emergency department. A judicial forensic autopsy was performed that concluded that her death was due to multiple acute pulmonary, cardiac and renal infarctions secondary to septic thromboembolism in the course of post-traumatic bacterial necrotizing pyomyositis of the right ileo-psoas muscle.
一名6岁女孩因几天前意外摔倒被送往急诊科。她出现发热、咳嗽和便秘症状。怀疑感染了新冠病毒，她被转至一家收治新冠阳性患者的儿科机构。在诊断过程中，临床症状突然恶化，出现心动过缓、呼吸急促和意识改变。尽管进行了心肺复苏尝试，但该患儿在进入急诊科约16小时后死亡。进行了司法法医尸检，结论是其死亡原因是右髂腰肌创伤后细菌性坏死性脓性肌炎过程中继发的感染性血栓栓塞导致的多发性急性肺、心脏和肾脏梗死。
