Carotid artery rupture and cervicofacial actinomycosis

Kummer, Anne; Lhermitte, Benoît; Ödman, Micaela; Grabherr, Silke; Mangin, Patrice; Palmière, Cristian

doi:10.1016/j.legalmed.2012.06.002

Cited by 14 publications

(10 citation statements)

References 27 publications

(37 reference statements)

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“…This allows us to highlight the following main cardiovascular disorders: Patency reduction: thromboembolism, 4,9,16 coronary plaques; 2,6 Wall alteration: malformations, 2 aneurysm, 24,25 dissections; 10,14,15 Bleedings: brain haemorrhage, 26 thoraco-abdominal haemorrhage. 2,5,27 …”

Section: Discussionmentioning

confidence: 99%

Diagnosing coronary thrombosis using multiphase post-mortem CT angiography (MPMCTA): A case study

et al. 2021

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While post-mortem angiography (PMA) is gradually establishing its role in Forensic Radiology, the available literature in Italy lacks a solid foundation, particularly regarding its use in criminal court proceedings. An illustrative example of multiphase post-mortem CT angiography (MPMCTA) is presented here to encourage the systematic implementation of PMA methods. To demonstrate concordance between MPMCTA and the reference standard (autopsy and histology) in a case of acute coronary thrombosis, we report a case where MPMCTA, autopsy, histological and toxicological analyses were performed on a previously healthy 51-year-old man. MPMCTA detected a right coronary artery filling defect that could be ascribed to coronary thrombosis, which was later confirmed by autopsy and histological examinations.

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Section: Discussionmentioning

confidence: 99%

Diagnosing coronary thrombosis using multiphase post-mortem CT angiography (MPMCTA): A case study

et al. 2021

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“…Seven weeks postsurgery, massive endobuccal hemorrhage originated that could not be properly controlled due to the trismus, resulting in death despite resuscitation attempts. Postmortem computed tomography showed spontaneous rupture of the left carotid artery located at the carotid bifurcation 7 …”

Section: Discussionmentioning

confidence: 99%

Microvascular flap reconstruction of pharynx in patient with actinomycosis

Adoviča

Pastars

Иванова

et al. 2021

Clinical Case Reports

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“…Cases of sudden and unexpected death have rarely been reported. 2,[7][8][9] Actinomyces species may infect different regions of the body, including cervicofacial, thoracic, abdominopelvic, central nervous system, and musculoskeletal. 1 Actinomycotic infections most commonly involve the cervicofacial region 1 when there has been damage to the mucosal lining facilitating invasion of organisms.…”

Section: Discussionmentioning

confidence: 99%

Actinomyces in Forensic Practice

Olds

Gilbert²,

Byard

2020

Am J Forensic Med Pathol

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A 19-year-old woman in septic shock with recent computed tomography findings of a loculated hepatic abscess was transferred to an intensive care unit where she went into asystolic cardiac arrest. After resuscitation, surgical exploration revealed a purulent pericardial effusion with tamponade and a liver abscess. Microbiological analyses from both sites were negative. Shortly after surgical exploration, she developed multiorgan failure and died. At autopsy, pus was observed both within the pericardial cavity and around the left lobe of the liver. Green "sulfur granules" suggestive of infection with Actinomyces spp. were able to be extruded from the liver during the postmortem examination and cultures returned positive for Actinomyces israelii. This case is a rare example of primary hepatic actinomycosis infection that resulted in the death of a young woman. Nonspecific clinical manifestations may delay diagnosis; however, the finding of "sulfur granules" in areas of abscess formation at autopsy should be taken as an indication of possible underlying Actinomyces infection.

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Carotid artery rupture and cervicofacial actinomycosis

Cited by 14 publications

References 27 publications

Diagnosing coronary thrombosis using multiphase post-mortem CT angiography (MPMCTA): A case study

Diagnosing coronary thrombosis using multiphase post-mortem CT angiography (MPMCTA): A case study

Microvascular flap reconstruction of pharynx in patient with actinomycosis

Actinomyces in Forensic Practice

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