SUDDEN DEATH DUE TO AGITATED DELIRIUM AND POLICE RESTRAIN IN A PERSON WITH ACUTE HEMORHAGIC PANCREATITIS

Authors

  • José Vicente Pachar Lucio Doctor en Ciencias Clínicas con Especialización en Patología Forense. Instituto de Medicina Legal y Ciencias Forenses de Panamá
  • Jessica Cobos ** Especialista en Medicina Legal. Instituto de Medicina Legal y Ciencias Forenses de Panamá
  • Pamela Bórquez Tanatóloga Forense. Servicio Médico Legal de Chile

Keywords:

Agitated delirium; acute alcohol and cocaine intoxication; death in custody; acute hemorrhagic pancreatitis

Abstract

Sudden death of an individual, in agitated delirium secondary to alcohol and cocaine acute intoxication, due to police restriction is presented. The autopsy findings included gastrointestinal and acute hemorrhagic pancreatitis, findings that raise questions about the cause of death and the combined effect of the toxic substances.

References

1. Recomendaciones específicas para la unificación de la autopsia judicial en el Instituto de Medicina Legal de Cataluña. Generalitat de Catalunya. Department de Justicia. Primera Edición: junio 2013 pp: 134-139.

2. Mash DC, Duque L, Pablo J et al. Brain biomarkers for identifiying excited delirium as a cause of sudden death. Forensic Science International 2009; 190: e13-e19.

3. Tiwari A, Moghal M, Meleagros L. Life threatening abdominal complications following cocaine abuse. J Royal S Medicine 2006; 99: 51-52

4. Carlin N, Nguyen N, De Pascuale JR. Multiple Gastrointestinal Complications of Crack Cocaine Abuse. Case reports in Medicine Volume 2014, Article ID 512939, 3 pages. http://dx.doi.org/10.1155/2014/512939.

5. Ratia Gimenez T, Gutierrez Calvo A, Granell Vicent J. Etiology of acute pancreatitis. Cent. Eur. J Med 2014; 9(4): 530-542.

6. Papachristou GL, Papachristou DJMorinville VD et al. Chronic alcohol consumption is a mayor risk factor for pancreatic necrosis in acute pancreatitis. Am J Gastroenterol 2006; 101:2605-2610.

7. Pilgrim JL, Woodford N, Drummer OH. Cocaine in sudden and unexpected death: A review of 49 post-mortem cases. 2013; 227: 52-59.

8. De Luis, García MJ. Pancreatitis aguda necrótica – hemorrágica: A propósito de dos autopsias judiciales. Gacet int cienc forense 2015; 15: 27-34.

9. Burgeois JA, Fakhri D. Pancreatic encephalopathy with prolonged delirium. Psychosomatics. 2007; 48:352-354.

10. Aroca G, Cadena A, García R, et al. Nefrotoxicidad por uso recreacional de drogas psicoactivas. Reporte de un caso. Salud Uninorte Baranquilla. 2015; 31(2):358-366.

11. Laizure SC, Parker RB. Pharmacodynamic evaluation of the cardiovascular effects after de coadministration of cocaine and ethanol. Drug Metab. Dispos. 2009;37: 310-314.

Published

2020-11-13

How to Cite

SUDDEN DEATH DUE TO AGITATED DELIRIUM AND POLICE RESTRAIN IN A PERSON WITH ACUTE HEMORHAGIC PANCREATITIS. (2020). Medicina Legal De Costa Rica, 34(2). https://www.binasss.sa.cr/ojssalud/index.php/mlcr/article/view/76