A 43-year-old man was found unconscious at his home by the family members. He was transported to the local hospital where there was suspected the diagnosis of voluntary intoxication due to an unknown plant, possible Taxus baccata. He died 4 hours post admission and a medico-legal autopsy was performed, followed by histological and forensic toxicology analysis. Furthermore a botanical investigation was applied. Autopsy revealed fragments of greenish needle-like leaves in the stomach. Plant botanical investigation indicated the presence of Taxus baccata, also known as yew. The histological findings showed unspecific modifications of the internal organs, in concordance with the literature. No signs of violence could be found on the external exam or any relevant concentrations of alcohol, narcotic drugs and pharmaceuticals in the postmortem screening. Therefore, taking into account the history of the case, the clinical, paraclinical data, the autopsy findings and the ancillary examinations, the death was considered violent due to acute intoxication with Taxus baccata, this being a unique case in the activity of our Institute of Legal Medicine.
Background and aimsThe detainees’ right to healthcare is granted by laws, in accordance with EU directives and recommendations to which our country has consented. Prison population is a particularly vulnerable and marginalized group characterized by mortality rates different from the general population. This study aims at providing a picture of the causes of death, quality of healthcare and measures needed to reduce the number of in-prison deaths, including legal medicine expertise in view of sentence postponement/interruption.MethodsThe present paper is based on the statistical analysis of in-prison deaths casework recorded at the Forensic Medicine Institute of Cluj-Napoca and provided by territorially subordinated counties forensic services. The data collected cover over 15 years (2000–2014), a period long enough for significant retrospective statistical analysis.ResultsThe total number of deaths among the inmates was 113, the majority of male sex (110). Distribution by age groups shows a greater incidence among inmates aged 50 to 59 years (32 cases, 28.31%), followed by those in their 40s’ (30 cases, 26.54%) and 30s’ (25 cases, 22.12%). The most frequent pathological causes of death were cardiovascular (53 cases) followed by tumors (26 cases) and infectious diseases. A significant number of deaths were due to violent causes (14 cases-12,38%).ConclusionsSpecial problems are raised by the high number of deaths among prisoners, especially at a young age, while the high frequency of violent deaths from self- or non-self-inflicted traumatic causes requires supervision, monitoring and continuous analysis. Despite recent improvements, healthcare in prisons still poses some problems, mainly regarding diagnosis and treatment of heart diseases, neurosurgery and cancer.
Brain vascular malformations are recognized as having potential to produce hemorrhage, but leading to sudden death in children is uncommon. Arteriovenous malformations may be situated in any region of the brain, but very rarely, they can be restricted to the choroid plexus. We report here a rare case of sudden death in a child, caused by a ruptured vascular malformation with an unusual location, which was not identified grossly but only on histological examination. The size and the location of the lesion, as well as the age of our patient, were contributing factors of the massive bleeding. Autopsy remains an important tool because it provides valuable information about the etiology of such bleedings, improves knowledge about these lesions, and enhances epidemiologic data.
The study aimed to determine the influence of the levels of education among people that committed suicide by the use of chemical substances. Data were collected from 2 groups of subjects investigated at the Institute of Legal Medicine in Cluj-Napoca, between January 2012 and December 2016. The first group consisted of 20 deceased persons that committed suicide by chemical substances and the second group consisted of 13 persons that attempted suicide by chemical substances. We investigated the following data: gender, age and type of toxic substance, level of education, field of study, existence of mental illness or other attempts. Age was statistically significantly higher in successful suicides versus suicides attempts. The rest of the variables did not differ statistically significantly between groups, although a higher percentage of subjects with psychiatric illness were observed in the completed suicides group. Also, a higher percentage of subjects who attempted to commit suicide with combination of alcohol and other chemical substances were observed, without achieving statistical significance. We also analyzed the differences within the group with completed suicide subjects from the point of view of their studies. Although we did not get a statistical significance because of the low number of subjects, there were a few associations that slightly exceeded the statistical significance threshold. Thus, those without higher education have used alcohol more frequently in combination with medication, and those with higher education have preferred medication alone. The obtained results may have implications for the targeted prevention of suicides by chemical substances.
Death by intoxication represents an important cause of violent deaths which could be easily prevented. Accidental ethanol and carbon monoxide intoxications produce the most frequent causes of violent deaths among civilians in Romania. To provide an insight in these types of deaths and to bring attention upon the clinical and biological manifestations as well as of the typical morphologically findings, the authors present a strange case of fatal intoxication due to carbon monoxide in an 88 years old male, found in his bed. Moreover, because of the simultaneous death of the male�s wife in the attic of the house, with ethanol intoxication, we would also like to bring attention to the juridical notion of commorientes, since in the establishing of its constituting characteristics the forensic expertise plays a decisive role.
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