Citation

Trubner K, Puschel K, Laufs R. Z. Rechtsmed. 1989; 102(2-3): 199-205.

Vernacular Title

Hepatitis bei Rauschgifttoten.

Affiliation

Institut für Rechtsmedizin der Universität Hamburg, Bundesrepublik Deutschland.

Copyright

(Copyright © 1989, Holtzbrinck Springer Nature Publishing Group)

DOI

unavailable

PMID

2711771

Abstract

In the period between 1983 and 1987 autopsies were carried out on 120 drug victims at the Institute for Forensic Medicine in Hamburg, and 93 cases were serologically tested for hepatitis B. It was found that 50 cases (54%) were positive for anti-HBc, 39 (42%) for anti-HBs, and 5 cases (5%) for HBsAg. The prevalence of hepatitis-B-virus markers was dependent upon the age of the victims. In 81% inflammatory alterations of the liver (including unspecific reactive hepatitis) were diagnosed histologically. The pathogenesis of these serological and pathomorphological findings is discussed. Drug addicts are a group at risk for hepatitis B, and it can spread on account of the epidemiological connection with other risk groups, e.g., prostitutes and homosexuals. Postmortem serological investigations for hepatitis markers proved to be a well-established and reproducible means of differentiating histopathological liver alterations.

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