Dirnhofer R, Sonnabend O, Sonnabend W
Z Rechtsmed. 1977 Aug 26;80(2):139-51. doi: 10.1007/BF01160201.
The autopsy of a 37 year old man who had died under extraordinary circumstances showed a bromatoxism by bacillus cereus. The verification of the bacillus was possible although the man had already died 2-3 days before; and that in spite of the existence of early beginning rottenness. With the help of morphological findings the pathogenetic effect of the toxins (exotoxin and enterotoxin) of bacillus cereus is discussed. Blood cultures of the heart alone are not sufficient to prove a causal connexion between infection and death. For this purpose bacteriological examination of the organs (liver, spleen, kidney, lungs and brain) is at the same time necessary. An aseptic method, which is described in detail, is the absolute condition for useful results. The forensic value of proof of the bacteriological examination is secured and improved by an additional verification of bacteria in histological specimen coloured by Gram.
一名37岁男子在特殊情况下死亡，尸检显示由蜡样芽孢杆菌引起食物中毒。尽管该男子已在2 - 3天前死亡，且存在早期腐败现象，但仍有可能鉴定出该芽孢杆菌。借助形态学检查结果，探讨了蜡样芽孢杆菌毒素（外毒素和肠毒素）的致病作用。仅对心脏进行血培养不足以证明感染与死亡之间存在因果关系。为此，同时有必要对器官（肝脏、脾脏、肾脏、肺和脑）进行细菌学检查。一种详细描述的无菌方法是获得有效结果的绝对条件。通过对革兰氏染色组织标本中的细菌进行额外鉴定，确保并提高了细菌学检查证据的法医价值。
