Petechial bleedings in sudden infant death

Fracasso, Tony; Vennemann, Mechtild; Klöcker, Mirjam; Bajanowski, Thomas; Brinkmann, B.; Pfeiffer, Heidi; Bockholdt, Britta; Bohnert, Michael; Cremer, U; Deml, U; Freislederer, A.; Heide, S.; Huckenbeck, W.; Jachau, Katja; Hj, Kaatsch; Klein, Anke; Kleemann, W. J.; Larsch, K-P; Fieguth, Armin; Leukel, H.; Mützel, Elisabeth; Rublack, F; Sperhake, Jan; Zimmer, Gary; Zweihoff, R. F.

doi:10.1007/s00414-010-0421-0

Cited by 14 publications

(6 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In forensic medicine literature, there exist numerous case descriptions of homicides that remained undetected during the external post-mortem examination but were finally revealed in the course of a subsequent autopsy [1,2,5,8,12,16]. Scientific investigations have shown that in Germany at least half of the homicides remain unrevealed.…”

Section: Discussionmentioning

confidence: 94%

A web-based e-learning programme for training external post-mortem examination in curricular medical education

Schmeling

Kellinghaus

Becker³

et al. 2011

Int J Legal Med

Self Cite

View full text Add to dashboard Cite

In Germany, the external post-mortem examination is considered a medical duty and may be performed by any licensed physician. Concerning legal medicine as a curricular subject in teaching medical students, the external post-mortem examination is regarded a core area. At the University of Müenster, 15 virtual cases of death have been developed by using the web-based Inmedea Simulator. The programme allows performing all relevant steps in executing a complete external post-mortem examination. A particular importance was attached to the aspect of training users in approaching the subject in a systematic way to interpret significant forensic findings correctly and to comprehend their medico-legal implications. The programme was used for the first time in the academic term of 2010/2011. The overall reception of the programme by the medical students resulted to be positive in a first evaluation.

show abstract

Section: Discussionmentioning

confidence: 94%

A web-based e-learning programme for training external post-mortem examination in curricular medical education

Schmeling

Kellinghaus

Becker³

et al. 2011

Int J Legal Med

Self Cite

View full text Add to dashboard Cite

show abstract

“…In this case, pathological findings and post-mortem imaging [ 11 , 12 ] suggested a mechanism of death (acute respiratory failure) coherent with a SIDS diagnosis, as it often features pulmonary findings. Petechial haemorrhages found sub-pleurally, sub-epicardially and in the thymus were also consistent with a SIDS [ 13 ].…”

Section: Discussionmentioning

confidence: 96%

Infant urinary metabolomic profile in a fatal acute methadone intoxication

et al. 2022

View full text Add to dashboard Cite

A case report suspicious for a Sudden Infant Death Syndrome is here described. Pathological findings were consistent with an acute respiratory failure while toxicological analysis revealed an elevated blood methadone concentration. Death was then ascribed to an acute methadone intoxication. In addition to the routinary approach, the urinary sample collected at autopsy was investigated with a 1H NMR metabolomic approach and the identified metabolomic profile was challenged with the urinary metabolomic profiles previously obtained from 10 newborns who experienced perinatal asphyxia and 16 healthy control newborns. Intriguingly, the urinary profile of the methadone intoxicated infant was very similar to those belonging to the perinatal asphyxia newborns, especially to those belonging to the newborns characterised by the worst outcome. The results offer several hints on a shared metabolic derangement between different mechanisms of asphyxia/hypoxia. To the best of the authors’ knowledge, this is the first report of the use of a metabolomic approach in a pathological case, in which metabolomics offers useful additional information regarding the mechanism and the cause of death.

show abstract

“…Nevertheless, if the circumstances are lacking in plausible explanations [12], the occurrence of facial petechiae in newborns should be treated suspicious [28] and lead to thorough investigation [35]. Taken alone, caput succedaneum and facial petechiae cannot provide corroborative evidence of neonaticide and should therefore always be interpreted together with a further investigation of the circumstances of death and a thorough forensic pathological autopsy [36].…”

Section: Discussionmentioning

confidence: 99%

Caput succedaneum and facial petechiae—birth-associated injuries in healthy newborns under forensic aspects

et al. 2011

View full text Add to dashboard Cite

In cases of suspected neonaticide, the results of a forensic autopsy might be important for conviction or acquittal. But autopsy findings in dead newborns are often unspecific and can rarely provide corroborative evidence of inflicted injury, as they are known to occur during normal birth as well. In our study, we examined 59 vaginally delivered, healthy newborns within the first 30 min after birth to know more about the prevalence and possible correlations of a caput succedaneum and facial petechiae. Caput succedaneum occurred in 33.9%, facial petechiae in 20.3%. As for the occurrence of caput succedaneum, statistically significant differences could be shown for the duration of delivery and the mother's parity. These correlations could not be shown for the occurrence of facial petechiae. Within the scope of our study, we could demonstrate that neither caput succedaneum nor facial petechiae are rare findings in healthy newborns. In the forensic investigation of suspected neonaticide, their potential significance can only be ascertained together with further investigations of the circumstances of death and a thorough forensic pathological autopsy.

show abstract

Petechial bleedings in sudden infant death

Cited by 14 publications

References 30 publications

A web-based e-learning programme for training external post-mortem examination in curricular medical education

A web-based e-learning programme for training external post-mortem examination in curricular medical education

Infant urinary metabolomic profile in a fatal acute methadone intoxication

Caput succedaneum and facial petechiae—birth-associated injuries in healthy newborns under forensic aspects

Contact Info

Product

Resources

About