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Sudden Death Due to Hydatid Disease: A Six‐Year Study in the Northern Part of Tunisia
Authors:Mehdi Ben Khelil M.D.  Mohamed Allouche M.D.  Ahmed Banasr M.D.  Fatma Gloulou M.D.  Anis Benzarti M.D.  Mongi Zhioua M.D.  Slim Haouet M.D.  Moncef Hamdoun M.D.
Affiliation:1. Service de Médecine Légale de Tunis, H?pital Charles Nicolle, 138 Boulevard du 9 avril 1938, Tunis, 1006 Tunisia;2. Université de Tunis El Manar, Faculté de Médecine de Tunis, Tunis, 1007 Tunisia;3. Additional information and reprint requests:;4. Mehdi Ben Khelil, M.D.;5. Service de Medecine Legale;6. Hopital Charles Nicolle;7. 138 Boulevard du 9 avril 1938;8. Tunis 1006;9. Tunisia;10. E‐mail: benkhelilmehdi@yahoo.fr;11. Service d'Anatomie Pathologique, H?pital La Rabta, Tunis, 1007 Tunisia
Abstract:Human ecchinococcosis also known as hydatid disease is a zoonotic infection caused by the tapeworm Ecchinococcus with 2–3 Million cases worldwide. We hereby report a 6 years period study of Sudden death due to hydatidosis aiming to analyze the epidemiological criteria, death circumstances, and autopsy observations attributed to hydatid disease. During the past 6 years, 26 death cases were due to hydatid disease. Our analysis shows that the sex ratio (M/F) was 1.6, the mean age was 31‐year old, and 65% of the subjects lived in rural places. In 17 cases, death occurred in the victim's place, five victims died after a heavy exercise, and in two cases, death occurred immediately after trauma. At autopsy, 91% of the cysts were found in the liver. In three cases, death followed a septic state, and in two cases, it followed an acute respiratory failure. Death was attributed to anaphylaxis in 17 cases.
Keywords:forensic science  forensic pathology  hydatidosis  echinococcosis  sudden death  anaphylaxis  autopsy
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