SUDDEN DEATH OF A MIDDLE AGED MALE DUE TO PULMONARY TUBERCULOSIS EXAGGERATED BY MINOR TRAUMA (ASSAULT): A MEDICO-LEGAL CASE REPORT AND REVIEW OF THE LITERATURE

Authors

  • Sanjay Kumar Assistant Professor, Department of Forensic Medicine & Toxicology, VMMC, SJH, New. Delhi.
  • Tabin Millo Professor, Department of Forensic Medicine & Toxicology, AIIMS, New. Delhi.
  • Mohit Gupta Associate Professor, Department of Forensic Medicine & Toxicology, VMMC, SJH, New. Delhi.
  • Abhishek Yadav Assistant Professor, Department of Forensic Medicine & Toxicology, AIIMS, New. Delhi.
  • Anil Kumar Mittal Director Professor & Head, Department of Forensic Medicine & Toxicology, VMMC, SJH, New. Delhi.

Keywords:

Tuberculous Pneumonia, Acid Fast Bacilli, Sudden death, Assault

Abstract

Tuberculosis is the prototype of the granulomatous inflammatory diseases, caused by Mycobacterium tuberculosis. Immune reactions are usually involved in the development of granulomas (referred to as a tubercle in this disease) often characterized by the presence of central caseous necrosis, rare in other granulomatous diseases. Although it is uncommon but when exaggerated by some trauma it may account for sudden death. 

References

Hirsh AE, Tsolaki AG, DeRiemer K, Feldman MW, Small PM. Stable association between strains of Mycobacterium tuberculosis and their human host populations. Proc Natl Acad Sci USA. 2004; 101:4871 6. [PMCID: PMC387341] [PubMed: 15041743].

Rothschild BM, Martin LD, Lev G, Bercovier H, Bar Gal GK, Greenblatt CL, et al. Mycobacterium tuberculosis Complex DNA from an Extinct Bison Dated 17,000 Years before the Present. Clin Infec Dis. 2001; 33:305–11. [PubMed: 11438894].

Hershkovitz I, Donoghue HD, Minnikin DE, Besra GS, Lee OY-C, Gernaey AM, et al. Detection and molecular characterization of 9000-year old Mycobacterium tuberculosis from a neolithic settlement in the Eastern Mediterranean. PLoS ONE. 2008;3:e3426. [PMCID: PMC2565837] [PubMed: 18923677].

Nobelprize.org [Internet]. Sweden: The Nobel Prize in Physiology or Medicine 1905: Robert Koch. c2010. Available from :http://nobelprize.org/nobel_prizes Physiology/laureates/1905/koch.html. (Accessed on 2016 Oct 13)

Carl Zimmer, “Tuberculosis Is Newer Than thought, study says” (http://www.nytimes.com/2014/08/21 science/tuberculosis-isnewer-than-what-thought study-says.html?_r=0), New York Times, 21 August 2014.

A.S. Fauci, E. Braunwald, D.L. Kasper, S.L. Hauser, D.L. Longo, J.L. Jameson et al, (Eds.) Harrison’s principles of internal medicine. 18th ed. McGraw Hill, New York; 2011.

WHO Report 2003: Global Tuberculosis Control: Surveillance, Planning, Financing,WHO,2003.(http:/ whqlibdoc.who.int/hq/2003/WHO_ CDS_ TB_ 2003. 316. pdf), accessed on 3/11/16.

World Health Organisation, Global Tuberculosis Control 2015, Geneva, (www.who.int/tb/publications global_-tuberculosis_report 2014).

World health organisation, digital health for the end TB strategy: an agenda for action (WHO/HTM/TB 2015.21), Geneva:WHO;2015 (http://www.who.int/tb areas-of-work/digitalhealth/Digital_ health_ End TB strategy. pdf. (accessed on 15 October 2016).

Ellis ME, Webb AK, Cause of Death in Patients Admitted to Hospital for Pulmonary Tuberculosis. Lancet. 1983; 1(8326 pt1): 665-667.

Alkhuja S, Miller A, Tuberculosis and sudden death: A case report and review. Heart and Lung, The Journal of Acute and Critical Care. 2001; 30(5): 388-391.

Wallis PJ, Branfoot AC, Emerson PA. Sudden death due to myocardial tuberculosis. Thorax.1984; 39(2): 155-156.

Chan AC, Dickens P. Tuberculous myocarditis presenting as sudden cardiac death. Forensic Sci. Int. 1992; 57(1): 45-50.

Ward S, Evans CC. Sudden death due to isolated adrenal tuberculosis. Postgrad Med J. 1985; 61(717): 635-636.

Picard C, Parrot A, Boussaud V, Lavole A, Saidi F, Mayaud C, Carette MF. Massive haemoptysis due to Rasmussen aneurysm: detection with helical CT angiography and successful steel coil embolization. Intensive Care med. 2003; 29(10): 1837-1839.

Lloyd W.E. The differential diagnosis of haemoptysis. ([Internet] Postgrad med Journal. 1938; 14:56-59(sited on 18th Oct. 2016).

Graeme Dowling. Sudden Natural Death. In: David Dolinak, Evan matshes, Emma lew. Forensic pathology Principles and Practice. 1st ed. Elsevier Academic Press; 2005:71-119.

Dr Dinesh S Rao, Dr Yadhukul. Sudden and unexpected natural deaths- A four-year autopsy review. JPAFMAT 2008; 8(2): 20-24.

Krishna B, Shaukat A, Chakravorty I. Fatal haemoptysis in a young man with Tuberculous mediastinal lymphadenitis. A case report and review of the literature. Respiration. 2009; 77(3): 333-336.

Bhagavath P, Rastogi P, Menzes RG, Valithan M, Mohan Kumar TS, Raghvendra Babu YP, Kanchan T, Monteiro FN, Nayak VC. Sudden death due to pulmonary aspergillosis. J. Forensic Leg Med 2009; 16(1): 27-30.

Yokoyama T, Toda R, Kimura Y, Mikagi M, Aizawa H. Addison’s disease induced by military tuberculosis and the administration of rifampicin. Intern Med. 2009; 48(15): 1297-1300.

Wallis PJ, Branfoot AC, Emerson PA, Sudden death due to myocardial tuberculosis. Thorax. 1984; 39(2): 155-156.

Prof. Pekka Sauko, Prof. Bernard Knight. Knight’s Forensic Pathology. 4th ed. CRC press, London; 2015; Chapter 25: 546.

Published

2017-01-30

How to Cite

SUDDEN DEATH OF A MIDDLE AGED MALE DUE TO PULMONARY TUBERCULOSIS EXAGGERATED BY MINOR TRAUMA (ASSAULT): A MEDICO-LEGAL CASE REPORT AND REVIEW OF THE LITERATURE . (2017). Journal of Forensic Medicine & Toxicology, 33(2), 116–120. Retrieved from https://acspublisher.com/journals/index.php/jfmt/article/view/17499