Epidemics related to illicit fentanyl abuse have been reported and the potential exists for a national epidemic associated with high mortality. This report describes emergency department visits opioid toxicity recent outbreak of fatalities in Chicago, Illinois surrounding Cook County.Retrospective chart review opioid-related overdoses seen our retrospective data from County Medical Examiner's Office Fentanyl Fatality Database April 2005 through December 2006.Our treated 43 patients total 55...

Abstract Background Vertebral osteomyelitis is a severe manifestation of disseminated coccidioidomycosis with limited published data on clinical presentations and outcomes. The purpose this study was to describe the epidemiology, risk factors, features, management, outcomes coccidioidal vertebral (CVO) among cohort patients in an endemic region. Methods We conducted retrospective chart review treated for CVO between 2013 2022 at academic health system Arizona. Demographic were extracted....

Between September 2005 and April 2007, 350 fentanyl intoxication deaths were investigated certified by the Cook County Medical Examiners Office. Investigations revealed that majority of these fatalities intravenous injection a white powder followed rapid collapse. The was clandestinely produced in lab Toluca, Mexico sold Mickey Cobra street gang. term "Drop Dead" coined for this "tainted heroin." Postmortem samples screened ELISA confirmed standard GC-MS methods. Fentanyl peaked at 47 per...

We report an extremely unusual consequence to foreign body ingestion in a case of 3-year-old boy who died suddenly and at autopsy was found have esophagoaortic fistula. This fistula caused by coin which lodged posteriorly eroded through the esophagus into aorta. Serious complications following are rare include stricture formation, intramural abscess, formation tracts. illustrates potentially unpredictable behavior impacted bodies. The child's parents were initially suspected child abuse...

Abstract: Zip guns and the atypical gunshot wounds they produce are rare in forensic pathology. Because of this, investigators pathologists may be unfamiliar with their construction, appearance, associated them. A 43‐year‐old mechanic, a history depression was found dead washroom stall at work an wound head. Upon initial investigation, no weapon scene. Due to nature scene, unusual characteristics wound, manner death first thought homicide. Subsequently, simple zip gun, which had been...

This paper's objective is to describe two cases of fatal commotio cordis resulting from the deliberate striking children's chests by adults with their fists. These deaths involve male children, ages 3 years and 14 months. The clinical histories, events in households prior deaths, behaviors autopsy findings, investigation results are all similar. In both cases, blows were delivered anterior chest a closed fist. Both children collapsed immediately, unable be resuscitated. Confessions obtained...

axillary web syndrome is typically a consequence of lymph node dissection and rarely arises from trauma or physical exertion. A pediatric case has not been previously described. 15-year-old with prior uncomplicated pulmonary coccidioidomycosis developed tender, palpable cord originating in the right axilla extending along medial biceps after session resistance weight training. There was no history surgery malignancy. She did have adenopathy had signs relapsed coccidioidal infection....

: Coccidioidomycosis is a fungal infection endemic to the southwestern United States. Musculoskeletal manifestations are uncommon and seen in disseminated disease. While involvement of axial skeleton has been well described, literature limited on diseases involving lower extremity.

Lanyard chains are commonly worn around the neck to hold keys and identification badges. A ten-year-old Black male child was home alone jumping swinging of raised crossbars on his mother's four-poster bed. He did this. also wore a lanyard with house key, which he used let himself in after school. His mother found him hanging corner bedpost by when she returned from work. The death scene showed that bed hooked over top bedpost, causing first second cervical vertebrae dislocation an abrupt...

Relatively little has been written about ethics in the practice of forensic pathology, considering its critical importance to individual practitioner and specialty's long-term survival. While general foundation highly ethical behavior hopefully established prior entering fellowship year, pathology is unique own special issues, requiring active intentional education. The training year best setting which formally discuss behaviors required daily pathology. American Counsel for Graduate Medical...

Noncirrhotic portal vein thrombosis (PVT) is a rare disease that usually presents with small nonfatal "herald bleeding" low mortality. Classic findings of noncirrhotic PVT include esophageal varices, splenomegaly, normal liver, and an organized thrombus the vein. We present case previously unreported sudden unexpected death from in asymptomatic elderly woman, review literature this entity, examine pathophysiology formation fatally ruptured varices. The must be carefully examined all cases...

Edited by Michael Tsokos, 353 pp, with tables and illus, Totowa, NJ, Humana Press, 2004.This is the first in a review series of forensic pathology, starting premise that “over last decade, field science has expanded enormously, rapid emergence new autopsy laboratory techniques, identification many markers for specific pathological conditions.” This book good start attempting to define these recent pathology advances.The chapter burned bodies, black-and-white photographs show charring “puppet...