Fatal Anaphylaxis to Pork: A Case Report

Authors

  • S H Jayanth Assistant Professor,Department of Forensic Medicine, M.S. Ramaiah Medical College, MSRIT Post, MSR Nagar, Bangalore-560054, India
  • Y P Girish Chandra Professsor and Head,Department of Forensic Medicine, M.S. Ramaiah Medical College, MSRIT Post, MSR Nagar, Bangalore-560054, India
  • Yashwant Kumar Singh Tutor, Department of Forensic Medicine, M.S. Ramaiah Medical College, MSRIT Post, MSR Nagar, Bangalore-560054, India

DOI:

https://doi.org/10.48165/

Keywords:

Sudden death, Anaphylaxis, Food allergy, Pork, Serum trytase levels, IgE antibodies, Autopsy

Abstract

Food allergy is a common cause of anaphylaxis, which affects up to 10% of young children and 2–3% of adults, and its prevalence appears to be increasing constantly; however the precise incidence of food-induced fatal anaphylaxis among people is unknown. In the case of anaphylactic shock death is likely to occur rapidly and without any warning in seemingly healthy subjects. The lack of reliable laboratory biomarkers and common standard definitions of signs and symptoms makes it difficult for clinicians to diagnose a suspected anaphylactic event. Furthermore at autopsy the findings might hint at the allergic reaction, but classic manifestations may not be appreciated thereby making postmortem diagnosis of anaphylaxis difficult. Here we report one such case of death due to anaphylaxis in a young women with childhood history of allergy to pork. 

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References

1. Kaufmannm DW. International Collaborative Study of Severe Anaphylaxis, An epidemiologic study of severe anaphylactic and anaphylactoid reactions among hospital patients: methods and overall risks. Epidemiology 1998;9:141–46.

2. Ugo Da Broi, Carlo M. Post-mortem diagnosis of anaphylaxis: a difficult task in forensic medicine. Forensic Sci Int 2011;204:1–5.

3. Boden SR, Wesley BA. Anaphylaxis: a history with emphasis on food allergy. Immunol Rev 2011;242:247–57.

4. Simons FE. World Allergy Organization survey on global availability of essentials for the assessment and management of anaphylaxis by allergy-immunology specialists in health care settings. Annals Allergy, Asthma Immunology 2006;104:405–12.

5. Simons FE. Anaphylaxis: Recent advances in assessment and treatment. J Allergy Clin Immunol 2008;124:625–36.

6. Soichi T. Identification of wheat allergens. Internet Symposium on Food Allergens 2001;3:163–70.

7. Mustafa SS. Anaphylaxis. Online [http://emedicine.medscape. com/article/135065-overview]. Retrieved on 15th Dec 2014.

8. Benbow E, Lucas S, Nasser S, Pumphrey R, Roberts I. Guidelines on Autopsy Practice Scenario 4: Autopsy for suspected acute anaphylaxis (includes anaphylactic shock and anaphylactic asthma), 2nd ed. April 2012; 2005. RCPath Working Party on the Autopsy. 2012 amendments.

Published

2014-10-30

How to Cite

Fatal Anaphylaxis to Pork: A Case Report . (2014). Indian Internet Journal of Forensic Medicine and Toxicology, 12(3&4), 59–61. https://doi.org/10.48165/