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An Autopsy Case of Sudden Unexplained Death Caused by Malaria*
Authors:Ritesh G Menezes MD  DNB  Tanuj Kanchan MD  Sharada Rai MD  P P Jagadish Rao MD  DNB  Ramadas Naik MD  B Suresh Kumar Shetty MD  Stany W Lobo PhD  Aman Chauhan MBBS  Mahabalesh Shetty MD  Alka Mary Mathai MD
Institution:1. Department of Forensic Medicine and Toxicology, Kasturba Medical College, Mangalore, India.;2. Department of Pathology, Kasturba Medical College, Mangalore, India.;3. Department of Human Anatomy and Embryology, Saba University School of Medicine, Saba, Netherlands Antilles.;4. Kasturba Medical College, Manipal, India.;5. Department of Forensic Medicine and Toxicology, K. S. Hegde Medical Academy, Mangalore, India.
Abstract:Abstract: Sudden unexplained deaths, especially those unwitnessed can lead to forensic issues and would necessitate the need for a meticulous and complete postmortem examination including ancillary investigations to discover the cause of death. We herein report a case of sudden unexplained death caused by malaria in an apparently healthy individual. This fatal case is presented to remind the forensic pathologist of the possibility of malaria as a cause of sudden unexplained death in malaria‐endemic regions. In the present case, histopathological examination demonstrated the presence of parasitized red blood cells with malarial pigment in the blood capillaries in the brain, myocardium, pericardium, lungs, kidneys, liver, and the spleen. Cerebral malaria with acute renal insufficiency or pulmonary edema with an acute respiratory distress syndrome might have been the cause of death.
Keywords:forensic science  forensic pathology  medicolegal autopsy  forensic histopathology  sudden unexplained death  Plasmodium falciparum  malaria  malaria‐endemic region
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