Document Detail


Environmental hyperthermic infant and early childhood death: circumstances, pathologic changes, and manner of death.
MedLine Citation:
PMID:  11764905     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Infant and early childhood death caused by environmental hyperthermia (fatal heat stroke) is a rare event, typically occurring in vehicles or beds. The aims of this study were to describe the demographics, circumstances, pathology, and manner of death in infants and young children who died of environmental hyperthermia and to compare these cases with those reported in the literature. Scene investigation, autopsy reports, and the microscopic slides of cases from three jurisdictions were reviewed. The subjects in 10 identified cases ranged in age from 53 days to 9 years. Eight were discovered in vehicles and 2 in beds. When the authors' cases were grouped with reported cases, the profile of those in vehicles differed from those in beds. The former were older, were exposed to rapidly reached higher temperatures, and often had more severe skin damage. The latter were mostly infants and were exposed to lower environmental temperatures. Hepatocellular necrosis and disseminated intravascular coagulation were reported in victims who survived at least 6 hours after the hyperthermic exposure. The consistent postmortem finding among nearly all victims was intrathoracic petechiae, suggesting terminal gasping in an attempt at autoresuscitation before death. The manner of death was either accident or homicide. Recommendations for the scene investigation are made.
Authors:
H F Krous; J M Nadeau; R I Fukumoto; B D Blackbourne; R W Byard
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Publication Detail:
Type:  Case Reports; Comparative Study; Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  The American journal of forensic medicine and pathology     Volume:  22     ISSN:  0195-7910     ISO Abbreviation:  Am J Forensic Med Pathol     Publication Date:  2001 Dec 
Date Detail:
Created Date:  2001-12-17     Completed Date:  2002-05-28     Revised Date:  2011-02-02    
Medline Journal Info:
Nlm Unique ID:  8108948     Medline TA:  Am J Forensic Med Pathol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  374-82     Citation Subset:  IM    
Affiliation:
Children's Hospital-San Diego, CA 92123, USA. hkrous@chsd.org
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MeSH Terms
Descriptor/Qualifier:
Accidents
Automobiles
Beds
Child
Child, Preschool
Dehydration / pathology
Fatal Outcome
Female
Fever / pathology*
Heat Stress Disorders / pathology*
Homicide
Humans
Infant
Male
Postmortem Changes
Purpura / pathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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