Diabetes and DecompositionA Case of Diabetic Ketoacidosis With Advanced Postmortem Change
作者:
J. Smialek,
B. Levine,
期刊:
The American Journal of Forensic Medicine and Pathology
(OVID Available online 1998)
卷期:
Volume 19,
issue 1
页码: 98-101
ISSN:0195-7910
年代: 1998
出版商: OVID
关键词: Diabetic Ketoacidosis;Decomposition;Antemortem hyperglycemia;Diagnosis
数据来源: OVID
摘要:
The case is presented of a 34-year-old man, an insulin-dependent diabetic, who was found decomposed in his apartment. The victim had been recently discharged from a mental hospital and was to be monitored by the community's mental health personnel. While the autopsy revealed little in the way of disease, toxicological studies yielded a blood acetone level of 0.070 g/dl and a urine acetone level of 0.086 g/dl. The medical examiner ruled the cause of death diabetic ketoacidosis. To support this conclusion in the absence of a vitreous humor glucose concentration, 18 well-documented cases of diabetic ketoacidosis were reviewed, and acetone concentrations were compared with the acetone concentrations found in the presented case.
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