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Bone marrow embolism to the lung in electrocution: two case reports
Ryan Blumenthal1, Gert Saayman
1From the Department of Forensic Medicine, University of Pretoria, Pretoria, South Africa.
The American Journal of Forensic Medicine and Pathology
|June 12, 2014
Summary
Electrocution can cause bone marrow embolism, a rare event where bone marrow enters the bloodstream, even without skeletal fractures. This study examines two cases, highlighting the phenomenon and its potential causes.
Area of Science:
- Forensic Pathology
- Pathology
- Toxicology
Background:
- Bone marrow embolism (BME) is a rare postmortem finding.
- First described in electrocution by Rappaport et al. in 1951.
- Pathogenesis remains incompletely understood.
Observation:
- Two cases of electrocution are presented.
- Case 1: High-voltage exposure with skeletal injuries.
- Case 2: Domestic current exposure without skeletal injury.
Findings:
- Histologic examination of lungs revealed bone marrow embolism in both cases.
- BME occurred despite the absence of skeletal injury in one case.
- This supports BME as a potential consequence of electrocution.
Implications:
- Reiterates the existence of BME in electrocution.
- Suggests mechanisms beyond direct skeletal trauma.
- Highlights the importance of histologic examination in electrocution autopsies.
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