Petechial bleedings in sudden infant death.
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Petechial bleedings in sudden infant death. / Fracasso, Tony; Vennemann, Mechtild; Klöcker, Mirjam; Bajanowski, Thomas; Brinkmann, Bernd; Pfeiffer, Heidi; Group, GeSID; Bach, P; Bockholdt, B; Bohnert, M; Cremer, U; Deml, U; Freislederer, A; Heide, S; Huckenbeck, W; Jachau, K; Kaatsch, H-J; Klein, A; Kleemann, W J; Larsch, K-P; Fieguth, A; Leukel, H W; Mützel, E; Rublack, F; Sperhake, Jan; Zimmer, G; Zweihoff, R.
In: INT J LEGAL MED, Vol. 125, No. 2, 2, 2011, p. 205-210.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Petechial bleedings in sudden infant death.
AU - Fracasso, Tony
AU - Vennemann, Mechtild
AU - Klöcker, Mirjam
AU - Bajanowski, Thomas
AU - Brinkmann, Bernd
AU - Pfeiffer, Heidi
AU - Group, GeSID
AU - Bach, P
AU - Bockholdt, B
AU - Bohnert, M
AU - Cremer, U
AU - Deml, U
AU - Freislederer, A
AU - Heide, S
AU - Huckenbeck, W
AU - Jachau, K
AU - Kaatsch, H-J
AU - Klein, A
AU - Kleemann, W J
AU - Larsch, K-P
AU - Fieguth, A
AU - Leukel, H W
AU - Mützel, E
AU - Rublack, F
AU - Sperhake, Jan
AU - Zimmer, G
AU - Zweihoff, R
PY - 2011
Y1 - 2011
N2 - The autopsy reports of 484 cases of deceased infants (201 females, 283 males) were analysed retrospectively for the existence of external and internal petechial bleedings (PET). The cases were divided into five groups on the basis of the cause of death (sudden infant death syndrome, sepsis, airway infections, asphyxia and trauma). Internal PET (pleural, pericardial, epicardial, thymic and peritoneal) were observed in each group with a lower prevalence in cases of trauma. The highest prevalence of external (cutaneous and conjunctival) PET was detected in cases of asphyxia (38% and 31%, respectively). However, even if with low prevalence, such bleedings were detected in every group. Factors like sex, age, cardiopulmonary resuscitation and its duration did not influence the presence of PET. The detection of external PET at autopsy is a suspicious finding that suggests asphyxia. Because of the possible natural origin of these bleedings, the medicolegal investigation has to be as complete as possible and has to include histology as mandatory.
AB - The autopsy reports of 484 cases of deceased infants (201 females, 283 males) were analysed retrospectively for the existence of external and internal petechial bleedings (PET). The cases were divided into five groups on the basis of the cause of death (sudden infant death syndrome, sepsis, airway infections, asphyxia and trauma). Internal PET (pleural, pericardial, epicardial, thymic and peritoneal) were observed in each group with a lower prevalence in cases of trauma. The highest prevalence of external (cutaneous and conjunctival) PET was detected in cases of asphyxia (38% and 31%, respectively). However, even if with low prevalence, such bleedings were detected in every group. Factors like sex, age, cardiopulmonary resuscitation and its duration did not influence the presence of PET. The detection of external PET at autopsy is a suspicious finding that suggests asphyxia. Because of the possible natural origin of these bleedings, the medicolegal investigation has to be as complete as possible and has to include histology as mandatory.
KW - Diagnosis, Differential
KW - Humans
KW - Male
KW - Female
KW - Infant
KW - Skin/pathology
KW - Autopsy
KW - Hemorrhage/pathology
KW - Forensic Pathology
KW - Asphyxia/diagnosis/pathology
KW - Postmortem Changes
KW - Sudden Infant Death
KW - Thorax/pathology
KW - Diagnosis, Differential
KW - Humans
KW - Male
KW - Female
KW - Infant
KW - Skin/pathology
KW - Autopsy
KW - Hemorrhage/pathology
KW - Forensic Pathology
KW - Asphyxia/diagnosis/pathology
KW - Postmortem Changes
KW - Sudden Infant Death
KW - Thorax/pathology
M3 - SCORING: Journal article
VL - 125
SP - 205
EP - 210
JO - INT J LEGAL MED
JF - INT J LEGAL MED
SN - 0937-9827
IS - 2
M1 - 2
ER -