Post-mortem diagnostics in cases of sepsis. Part 2. Biochemical and morphological examinations

Marta Rorat; Tomasz Jurek; Krzysztof Simon

doi:10.5114/amsik.2015.51607

eISSN: 1689-1716
ISSN: 0324-8267

Archiwum Medycyny Sądowej i Kryminologii/Archives of Forensic Medicine and Criminology

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1/2015
vol. 65

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abstract:

Review paper

Post-mortem diagnostics in cases of sepsis. Part 2. Biochemical and morphological examinations

Marta Rorat

,

Tomasz Jurek

,

Krzysztof Simon

Arch Med Sąd Kryminol 2015; 65 (1): 55–66

DOI: https://doi.org/10.5114/amsik.2015.51607

Online publish date: 2015/05/13

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Contemporary post-mortem diagnostics of sepsis makes it possible to obtain multiple evidence verifying the cause of death which is valuable for forensic medicine. There are a number of reports indicating the usefulness of tests of inflammatory markers (chiefly C-reactive protein and procalcitonin) that are employed in clinical medicine. During medico-legal autopsy, it becomes necessary to perform a careful search of pathological symptoms and inflammatory foci – both during external and internal examinations. Although sepsis lacks pathognomonic lesions that can be identified by histopathological examination, it represents an intrinsic element of post-mortem diagnostics. In order to be able to interpret the findings and establish the cause of death, the evaluation must concurrently take into account the circumstances of death, clinical symptoms, results of microbiological and biochemical tests, autopsy findings and histopathological examination results.

keywords:

Post-mortem diagnostics in cases of sepsis. Part 2. Biochemical and morphological examinations

Marta Rorat , Tomasz Jurek , Krzysztof Simon

error in medico-legal opinion, invasive infection, inflammatory mediators, microscopic examination

Marta Rorat

,

Tomasz Jurek

,

Krzysztof Simon