辅助调查在法医尸检中确定死因和法律意义的作用

IF 0.9 Q3 MEDICINE, GENERAL & INTERNAL Journal of Laboratory Physicians Pub Date : 2023-09-13 DOI:10.1055/s-0043-1774411
Arneet Arora, Sangita Moirangthem, Jayanthi Yadav, Suhail Alikkal, Aniket Gour, Navinchandra M. Kaore
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引用次数: 0

摘要

摘要年轻女性猝死的原因多种多样,对猝死原因的深入调查十分重要。在病史不明确的情况下,死后辅助调查也可以帮助确定或排除潜在的死亡原因,如潜在的医疗条件或环境因素。这些调查可能包括各种实验室测试,如毒理学、组织学、微生物学和遗传分析,以及放射成像研究。这些信息不仅有助于确定死因和死亡方式,而且有助于在任何医学法律案件中确定法律内涵。这是一名年轻女子的案件,据说她已经18岁了,需要进行法医解剖。她在去世前几天一直感到不适,出现呕吐、虚弱和疲劳。虽然没有诊断出潜在的疾病,但医生建议她做妊娠测试。15天后,她在家中去世,一直感到不适。在尸检中,这名年轻女子被发现瘦弱,并在她的子宫里发现了一个4到5个月的男性胎儿。对死者尸骨进行的放射检查显示,死者年龄约为15岁。死后微生物学分析显示,从锁骨下静脉采集的血液样本中存在肠系膜白色球菌。目前正在讨论这种细菌在死亡原因中的致病性以及根据印度刑法进行辅助调查的作用及其面临的挑战。
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Role of Ancillary Investigations in Medicolegal Autopsy to Establish the Cause of Death and Legal Implications
Abstract Sudden death in young females can have various causes and it is important to investigate the cause thoroughly. In cases with a vague history, postmortem ancillary investigation can also help to establish or rule out potential causes of death, such as underlying medical conditions or environmental factors. These investigations may include various laboratory tests, such as toxicology, histology, microbiology, and genetic analysis, as well as radiological imaging studies. This information not only helps in ascertaining the cause and manner of death but also helps in establishing the legal connotations in any medicolegal case. This is a case of a young woman allegedly 18 years brought for a medicolegal autopsy. She had been feeling unwell for a few days before her death, experiencing vomiting, weakness, and fatigue. Although no underlying disease was diagnosed, she was advised to take a pregnancy test. Fifteen days later, she died at home continuing to feel unwell. Upon autopsy, the young woman was found to be emaciated, and revealed a male fetus, of 4 to 5 months of gestational age, in her uterus. A radiological examination of bones conducted postmortem revealed that the age of woman was approximately 15 years old. Postmortem microbiology analysis revealed the presence of the bacteria Leuconostoc mesenteroides in a blood sample collected from the subclavian vein. The pathogenicity of this bacteria in the cause of death along with the role of ancillary investigation in the light of Indian criminal law and its challenges are being discussed.
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Journal of Laboratory Physicians
Journal of Laboratory Physicians MEDICINE, GENERAL & INTERNAL-
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发文量
99
审稿时长
31 weeks
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