Document Detail

Unassisted smothering in a pillow.
MedLine Citation:
PMID:  19621234     Owner:  NLM     Status:  MEDLINE    
We report the case of a 33-year-old man admitted to a psychiatric hospital because of paranoid schizophrenia. The man was found dead lying in his bed with the face pressed against a pillow and with elevated buttocks. The autopsy did not reveal a cause of death. The histological findings displayed the signs of the haemorrhagic-dysoric syndrome with acute emphysema; these findings are pathognomonic of obstructive asphyxia. The adverse effects of the neuroleptics demonstrated by the toxicological findings may have accelerated the loss of consciousness and facilitated the unusual position of the body. On the basis of the clinical history, the autopsy findings, the histological features and the toxicological results, asphyxia due to smothering was diagnosed as the cause of death.
Andreas Schmeling; Tony Fracasso; Fritz Pragst; Michael Tsokos; Ingo Wirth
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-07-21
Journal Detail:
Title:  International journal of legal medicine     Volume:  123     ISSN:  1437-1596     ISO Abbreviation:  Int. J. Legal Med.     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2009-10-23     Completed Date:  2010-01-18     Revised Date:  2011-01-19    
Medline Journal Info:
Nlm Unique ID:  9101456     Medline TA:  Int J Legal Med     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  517-9     Citation Subset:  IM    
Institut für Rechtsmedizin, Röntgenstrasse 23, 48149 Münster, Germany.
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MeSH Terms
Antipsychotic Agents / analysis
Asphyxia / etiology*,  pathology*
Bedding and Linens*
Chlorprothixene / analysis
Clozapine / analysis
Forensic Pathology
Hemorrhage / pathology
Macrophages, Alveolar / pathology
Prone Position
Pulmonary Emphysema / pathology
Schizophrenic Psychology
Reg. No./Substance:
0/Antipsychotic Agents; 113-59-7/Chlorprothixene; 5786-21-0/Clozapine
Comment In:
Int J Legal Med. 2011 Jan;125(1):155-6   [PMID:  20087744 ]

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