RESUMEN
A fatal intoxication of a 22-year-old woman after intake of the phenothiazine perazine is described. In all of investigated organs e.g. in liver, lungs and kidneys high concentrations of the active agent could be found. The analytical results lead to the assumption that at least 14, most likely 30 tablets of Taxilan 100 have been taken. An unintended overdosage seems to be excluded just as an administration by another person.
Asunto(s)
Sobredosis de Droga/diagnóstico , Perazina/envenenamiento , Intoxicación/diagnóstico , Suicidio/legislación & jurisprudencia , Adulto , Diagnóstico Diferencial , Sobredosis de Droga/sangre , Femenino , Humanos , Perazina/farmacocinética , Intoxicación/sangre , Esquizofrenia Paranoide/sangre , Esquizofrenia Paranoide/tratamiento farmacológico , Suicidio/psicología , Distribución TisularRESUMEN
BACKGROUND: Despite the availability of antibiotics deep neck space infections with anaerobic germs (Ludwig's angina) still carry the potential for significant morbidity and mortality with delayed treatment. Usually, odontogenic infections with involvement of the submandibular space are the source of deep neck space infections in adults, whereas in the pediatric population the most common cause is acute tonsillitis with involvement of the peritonsillar space. During the second half of this century intravenous drug abusers appeared as a new group of patients at risk for deep neck space infections. When peripheral veins sclerosis the addicts feel it necessary to either inject subcutaneously or use the major vessels of the neck and groin. Intravenous drug abusers injecting the major vessels of the neck risk delayed diagnosis because of dissimulation of their injection practices. Dangerous complications of deep neck space infections may be the result. CASE: We report a clinical case with delayed diagnosis and fatal outcome. CONCLUSION: Intravenous drug abuse is a rare cause for deep neck space infections but should be considered when swelling of the neck soft tissue of uncertain cause is presented. The search for the diagnose should not keep from taking quick therapeutic steps.
Asunto(s)
Angina de Ludwig/etiología , Cuello , Infecciones de los Tejidos Blandos/etiología , Abuso de Sustancias por Vía Intravenosa/complicaciones , Adulto , Antibacterianos/uso terapéutico , Diagnóstico Diferencial , Humanos , Angina de Ludwig/diagnóstico , Angina de Ludwig/tratamiento farmacológico , Masculino , Radiografía Torácica , Choque Séptico/etiología , Infecciones de los Tejidos Blandos/diagnóstico , Infecciones de los Tejidos Blandos/tratamiento farmacológico , Factores de Tiempo , Tomografía Computarizada por Rayos XRESUMEN
This report presents the case of a young man legally convicted twice on a charge of defiling the dead. All necrophilic acts were committed over a period of around 15 years. The examination results revealed a purely female-fixated necrophilia. In three cases, the perpetrator skinned the trunk of the corpses, placed the skin on his naked body and stimulated himself sexually. In several cases, he also used burial clothes that he had removed from the coffins and kept at home. The perpetrator had a long record of psychiatric treatment for his sexual inclination.
RESUMEN
The objective of the study was to give a survey on the possibilities and limits of reconstruction in cases of gunshot injuries of the vertebral bodies. X-ray examinations of the vertebral column hit by lead bullets of .22 rimfire ammunition regularly revealed small fragments of lead from the missile deposited along the wound track through the bone.
Asunto(s)
Cuerpos Extraños/diagnóstico por imagen , Plomo/análisis , Fracturas Craneales/diagnóstico por imagen , Fracturas de la Columna Vertebral/diagnóstico por imagen , Heridas por Arma de Fuego/diagnóstico por imagen , Adulto , Anciano , Armas de Fuego , Homicidio/legislación & jurisprudencia , Humanos , Masculino , Persona de Mediana Edad , Radiografía , Traumatismos de la Médula Espinal/diagnóstico por imagenRESUMEN
After an introductory presentation of the problem-complex, "Alcohol and Road Traffic Safety", and the past history of a danger-limiting value of 0.5%, the paper gives an extensive overview of the meaning, the development and the possibilities of an epidemiology (with statistics) of alcohol delinquency in road traffic. The various measures employed in different European countries for the combatting and punishment of "Alcohol in Road Traffic" as a cause of accidents will be thoroughly considered, and the necessary steps to be taken in the area of legislation, intensity of prosecution and penal sanctions will be pointed out. Our own epidemiological-statistical investigations with the cooperation of 28 further European institutes record the total distribution and the relative distribution of the blood alcohol concentration of listed road users and those listed who had been drinking, for the 2nd halve of 1989, in the institutes, governments and governmental groups taking part in the study. Thereby result characteristic frequency profiles with an assured tendency, and relative estimated numbers of unknown cases (beneath a BAC of 1%) as definite evidence of differing limiting value- and traffic surveillance-efficiency in various regions of Europe. The final conclusion will be drawn that the height of the limiting value alone is not able to make decisive contribution to an improvement in road traffic safety if the highly variable relativity of limiting value-efficiency is not considered at the same time, and complex, closely connected accompanying measures as an adjunct to legislation and the administration of justice are not carried out. Recommendations will be formulated concerning this matter. Further epidemiological-statistical analyses of the problem "Alcohol and Road Traffic Safety" are being prepared in cooperation with 16 European institutes and will be put together in a 2nd part of this multicenter study for T 92 (The 12th Conference of the International Committee on Alcohol, Drugs and Road-Safety in Cologne, 28. September-2. October 1992).