TY  - JOUR
PY  - 2022//
TI  - Relevance of diatom testing on closed organs of a drowned cadaver who died after receiving treatment for 10 days: a case report
JO  - Legal medicine (Elsevier)
A1  - Tsuneya, Shigeki
A1  - Yoshida, Maiko
A1  - Hoshioka, Yumi
A1  - Chiba, Fumiko
A1  - Inokuchi, Go
A1  - Torimitsu, Suguru
A1  - Iwase, Hirotaro
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - A male in his late adolescence fell into the sea and was found 50 minutes later with cardiopulmonary arrest. He was revived approximately 260 minutes after he drowned. Although he received several treatments, including venoarterial extracorporeal membrane oxygenation and continuous hemodiafiltration, he was clinically diagnosed with brain death. He died 10 days after the accident. The autopsy did not reveal any unremarkable findings other than those associated with post-resuscitation changes and medical treatment. The diatom test revealed 47.9, 311.6, and 577.5 diatom particles per gram from water, left lung, and right lung samples, respectively. No diatoms were detected in a 10 g liver sample, and 1 diatom was detected in each of approximately 12 g of bilateral kidney samples, which was different from the abundant species in the lung samples. The diatom test of the closed organs could be considered false negative for confirming drowning death since diatoms can also be detected in non-drowned cadavers on dry land. This suggests that diatoms might not reach the closed organs via circulation and that the diatom test of closed organ samples might no longer be necessary to confirm drowning deaths.<p />  <p>Language: en</p>
LA  - en
SN  - 1344-6223
UR  - http://dx.doi.org/10.1016/j.legalmed.2022.102168
ID  - ref1
ER  -