Document Detail

Hemorrhages in the root of the tongue in fire fatalities: the incidence and diagnostic value.
MedLine Citation:
PMID:  12935625     Owner:  NLM     Status:  MEDLINE    
Hemorrhages in the root of the tongue have been considered to be a finding associated with asphyxiation. The aim of the present study was to examine the incidence and diagnostic value of the lingual hemorrhages in fire fatalities with reference to the related pathological and toxicological findings, in comparison with asphyxiation and drowning cases. In fire fatalities (n=90), small to marked hemorrhages were observed in 26 cases (28.9%). In the reference groups (asphyxiation and drowning), the hemorrhages were frequently observed in ligature strangulation (n=10/15), manual strangulation (n=5/7) and traumatic asphyxia (n=4/5). In fire fatalities, the hemorrhages were closely associated with a lower blood carboxyhemoglobin (COHb) level, suggesting an influence of fatal burns: n=16/32 (50.0%), n=8/26 (30.8%) and n=2/32 (6.2%), respectively, in cases of COHb<30%, 30-60% and >60%. These findings suggested possible acute hemodynamic disturbance in the head including brain (cranial congestion) in the dying process due to fires. A careful differentiation from neck compression may be necessary in such cases.
Li Quan; Bao-Li Zhu; Kaori Ishida; Shigeki Oritani; Mari Taniguchi; Yasunobu Kamikodai; Kohei Tsuda; Masaki Q Fujita; Hitoshi Maeda
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Legal medicine (Tokyo, Japan)     Volume:  5 Suppl 1     ISSN:  1344-6223     ISO Abbreviation:  Leg Med (Tokyo)     Publication Date:  2003 Mar 
Date Detail:
Created Date:  2003-08-25     Completed Date:  2003-12-03     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  100889186     Medline TA:  Leg Med (Tokyo)     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  S332-4     Citation Subset:  IM    
Department of Legal Medicine, Osaka City University Medical School, Asahi-machi 1-4-3, Abeno, 545-8585 Osaka, Japan.
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MeSH Terms
Aged, 80 and over
Asphyxia / pathology
Carboxyhemoglobin / analysis*
Child, Preschool
Drowning / pathology
Forensic Medicine / methods
Hemorrhage / epidemiology*,  pathology*
Middle Aged
Tongue / pathology*
Reg. No./Substance:

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