Rahul M. Band Assistant Professor, Department of Community Medicine, Dr. D Y Patil Medical College & Research Centre, Dr. D Y Patil Vidyapeeth, Pune 411018, Maharashtra, India
Nilesh V. Vaidya Medical Officer, Sub District Hospital, Phaltan 415523, Pune, Maharashtra, India
Sadhana V. Lakhute Assistant Professor, Department of Community Medicine, Dr. D Y Patil Medical College & Research Centre, Dr. D Y Patil Vidyapeeth, Pune 411018, Maharashtra, India
Ajay L. Ghangale Associate Professor, Department of Forensic Medicine and Toxicology, Symbiosis Medical College for Women & Symbisosis University Hospital and Reasearch Centre, Symbisosis International University, Lavale 412115, Pune, Maharashtra, India
Sanjay D. Gaiwale Associate Professor, Department of Forensic Medicine and Toxicology, Symbiosis Medical College for Women & Symbisosis University Hospital and Reasearch Centre, Symbisosis International University, Lavale 412115, Pune, Maharashtra, India
Anshuman D. Dhumal Medical Officer, Sub District Hospital, Phaltan 415523, Pune, Maharashtra, India
Address for correspondence: Sanjay D. Gaiwale, Associate Professor, Department of Forensic Medicine and Toxicology, Symbiosis Medical College for Women & Symbisosis University Hospital and Reasearch Centre, Symbisosis International University, Lavale 412115, Pune, Maharashtra, India E-mail: drsanjaygaiwale@gmail.com
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Band RM, Vaidya NV, Lakhute SV, et al. An Approach to Obscure Death: A Case Series. Indian J Forensic Med Pathol. 2024;17(1):57-61.
Timeline
Received : August 19, 2023
Accepted : February 24, 2024
Published : March 29, 2024
Abstract
Introduction: An Autopsy doesn’t always yield cause of death easily. In 20-25% cases detailed history, visit to scene of incident, histological, toxicological& microbiological investigations might be required. Even then circumstantial evidence plays important role.
Case Reports: Article presents and discusses four cases, two of electrocution, one natural neonatal death and one accidental phosphorous poisoning. How challenging it can be to ascertain cause of death at rural hospital set up.
Discussion: Various natural and unnatural causes can lead to death without any evident pathology or signs such as sudden infant deaths, biochemical disturbances, functional disorders like epilepsy, electrocution, concealed trauma, certain poisonings, vagal and anaphylactic shocks.
Conclusion & Recommendations: All necessary and possible investigations should be done in obscure deaths to exclude such causes and to prevent allegations that the death was not investigated as fully as it should have been. Special efforts are needed to raise awareness regarding use and storage of hazardous materials to prevent accidental deaths.
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This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.