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:: Volume 22, Issue 4 (3-2017) ::
Ir J Forensic Med 2017, 22(4): 291-298 Back to browse issues page
Drug-Induced Hypersensitivity Myocarditis Presenting As Sudden Unexpected Death (SUD) - Report of a Rare Case
Mohammadhadi Panahianpour Dr * , Rozita Mazinani Dr, Saeid Shabanei Dr
MD, Pathobiologist, Tehran, Iran , mspanah1963@gmail.com
Abstract:   (709 Views)

Drug-induced myocarditis is a recognized complication of some therapeutic drugs and drugs of abuse. Cardiomyocytes injury may be caused either by direct toxic injury or triggered by a group of allergic reactions. Sudden death is a less recognized and argued complication of drug-induced myocarditis and hereby we report one such case.

In winter of 2014, a 27-year-old man was found dead inside his car and delivered to legal medicine organization for autopsy in order to investigate the cause of death. In his past medical history, significant findings were alcohol abuse, consumption of neuroleptics, and committing suicide by tramadol. The autopsy showed no findings suggestive of homicide or suicide and the toxicological analyses revealed no detectable drug or other poisonous substance. The histopathological findings included inflammatory cell infiltrate rich in eosinophil, perivascular infiltrate and focal myocytolysis in myocardium, hepatic steatonecrosis, and degenerative changes in cerebellar Purkinje cells and some neurons in cerebral cortex (red neuron).

Regarding the pathological findings and drugs history, drug-induced hypersensitivity myocarditis was suggested as a cause of death. In this case, criminal homicide was ruled out because of findings that suggest brain hypoxia. Therefore, a thorough and comprehensive medical and drug use history should be considered before declaring the cause of death.

Keywords: Sudden death, drug-induced hypersensitivity, myocarditis
Full-Text [PDF 3495 kb]   (310 Downloads)    
Type of Study: Case Report | Subject: General Surgery
Received: 2016/04/2 | Accepted: 2016/07/24 | Published: 2017/03/19
* Corresponding Author Address: MD, Pathobiologist, Tehran, Iran
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Panahianpour M, Mazinani R, Shabanei S. Drug-Induced Hypersensitivity Myocarditis Presenting As Sudden Unexpected Death (SUD) - Report of a Rare Case. Ir J Forensic Med. 2017; 22 (4) :291-298
URL: http://sjfm.ir/article-1-862-en.html


Volume 22, Issue 4 (3-2017) Back to browse issues page
مجله پزشکی قانونی ایران Iranian Journal of Forensic Medicine
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