Café coronary syndrome-fatal choking on food: An autopsy approach

Wick, Regula; Gilbert, John D.; Byard, Roger W.

doi:10.1016/j.jcfm.2005.10.007

Cited by 87 publications

(89 citation statements)

References 24 publications

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“…Underlying neurological disorder is the major risk factor for aspiration, especially in the elderly (3,6,7,8). In our study, only one case had a clinical history of hemiplegia, four cases had psychiatric diseases and two of them were under treatment in different psychiatry clinics.…”

Section: Discussionmentioning

confidence: 59%

Aspiration Deaths Among Adults in Istanbul

Asil¹,

Özdemir²,

Üzün³

et al. 2014

Bull Leg Med

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Massive aspiration of food is rare, but most common in people under the influence of alcohol or a drug and comatose patients who have impaired functioning of the central nervous system. The finding of small amounts of food material in the airway at autopsy does not indicate the true vital aspiration because of agonal or even early post-mortem overspills. Occlusion of the small airways, mainly the membranous and respiratory bronchioles, partial or total filling of bronchiolar lumen and the alveolar spaces with food or gastric content were typical morphologic findings. In our 10 year retrospective study we presented the data of 21 male and 4 female cases with a final diagnosis of fatal aspiration in age from 23 to 78 years (45.43±14.61) from the records of Morgue Specialization Department of the Council of Forensic Medicine. 13 cases found death at the scene without an eyewitness. All deaths were accidental in manner except one homicide. Toxicological analysis revealed blood alcohol concentration levels between 161 and 339 mg/dL in 7 cases. Morphine metabolites, benzodiazepine and barbituric acid derivatives, toluene and acetone were detected in 5 subjects. Aspirated materials were food in 14 cases, chewing gum in 3 cases, gastric content in 7 cases and a fabric gag in one case.The history, other evidence of external vomit on the clothing or immediate surroundings and toxicological analysis are by no means as significant as autopsy findings especially in cases of aspiration.Key words : adult; aspiration; death; autopsy

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Section: Discussionmentioning

confidence: 59%

Aspiration Deaths Among Adults in Istanbul

Asil¹,

Özdemir²,

Üzün³

et al. 2014

Bull Leg Med

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“…This often involves food and occurs in the setting of nursing homes. Termed ''café coronary'' syndrome or bolus death, these individuals are at particularly high risk because of the additive effects of abnormal eating behavior and impulsivity, in combination with impaired coordination of swallowing and diminished reflexes [1]. Neurological conditions such as cerebrovascular disease, multiple sclerosis, Parkinson disease, Huntington chorea, and bulbar palsy are all associated with increased numbers of choking episodes while eating, as is dementia.…”

Section: Discussionmentioning

confidence: 99%

Dentures in dementia: a two-edged sword

Langlois

Byard

2015

Forensic Sci Med Pathol

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“…The most useful instruments for removal are alligator forceps and a wire basket. [3] Wick et al [4] reported that 61% of the patients with food asphyxiation have a history of neurological or psychiatric disorders such as dementia, schizophrenia, Alzheimer disease, or atherosclerotic cerebrovascular disease.…”

Section: Discussionmentioning

confidence: 99%

Survival from cardiac arrest due to sushi suffocation

Hifumi¹,

Kiriu

Katô

et al. 2014

World Journal of Emergency Medicine

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BACKGROUND: Sushi suffocation is relatively uncommon, and it is an unignorable cause of sudden death; however, no reports on sushi suffocation have been published. METHODS:A 60-year-old man was referred to our hospital for post resuscitative intensive care. He had choked on sushi and collapsed in the dining room of a mental hospital. A nursing assistant summoned a physician who attempted to extract the sushi. External cardiac massage was initiated after 7 minutes had elapsed and followed by endotracheal intubation. Return of spontaneous circulation was achieved after 7 minutes of resuscitation. A bronchoscopy demonstrated a large amount of shari in the trachea and right bronchus, which was removed with alligator forceps and a wire basket. RESULTS:Neurological recovery was evident on day 2 of admission. He was transferred back to the mental hospital with no neurological complications.CONCLUSION: Emergency physicians should consider sushi suffocation, including its clinical features and management.

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Café coronary syndrome-fatal choking on food: An autopsy approach

Cited by 87 publications

References 24 publications

Aspiration Deaths Among Adults in Istanbul

Aspiration Deaths Among Adults in Istanbul

Dentures in dementia: a two-edged sword

Survival from cardiac arrest due to sushi suffocation

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