ANAPHYLACTIC DEATH CAUSED BY LIVER HYDATID CYST RELYING ON THE IMPORTANCE OF AUTOPSY – A CASE REPORT

Sajjad Sadeghi

doi:10.22159/ijms.2024v12i4.51549

Authors

Sajjad Sadeghi Department of Forensic Toxicology, Legal Medicine Research Center, Legal Medicine Organization, Tehran, Iran https://orcid.org/0000-0003-1579-394X

DOI:

https://doi.org/10.22159/ijms.2024v12i4.51549

Keywords:

Hydatid cyst, Echinococcus granulosus, Liver cyst, Autopsy, Case report

Abstract

Hydatid cyst is a common disease between humans and dogs as the main host and sheep as the intermediate host with the parasitic agent Echinococcus. There have been reports of hydatid cyst rupture spontaneously or following trauma. Autopsy, as the best way to determine the cause of death, can be the witness of the occurrence of a crime or an event. In the current study, a child death, that occurred as a result of a collision with another child at school, was investigated after his father complained to the school principal, and an autopsy was performed by forensic medicine. In forensic reports, the cause of death was anaphylactic shock due to a cyst in the right lobe of the liver. According to the pathology report, the cause of the liver cyst was a parasitic infection of Echinococcus granulosus.

References

Aminzare M, Hashemi M, Faz SY Raeisi M, Hassanzadazar H. Prevalence of liver flukes infections and hydatidosis in slaughtered sheep and goats in Nishapour, Khorasan Razavi, Iran. Vet World 2018;11:146-50.

Shahidi Dadras M, Gheysari M, Rahimi H Lotfi S, Sobhiyeh MR. Pruritus after abdominal blunt trauma: Early presentation of rupture of hydatid cyst. Pejouhesh 2009;33:123-5.

Siabi R, Saadati SM, Moradi B. Liver Echinococcus granulosus massive cyst: A case report. J Stud Res Comm Sabzevar Univ Med Sci 2017;22:10-5.

Sali S, Minooeifar J, La’li A, Doosti Z, Ebrahimi M. Isolated retrobulbar hydatid cyst: A case report. Novelty Biomed 2018;6:51-4.

Reshadati J. The importance of the autopsy in judicial proceedings. Iran J Forensic Med 2008;14:183-9.

Berenji F, Shamsian SA, Daloee MN Fattahi Masoom SH, Moghaddas E. Genotyping of Echinococcus granulosus Isolates from human in Khorasan Province, North-Eastern Iran. Iran J Parasitol 2019;14:52-8.

Shahkaram R, Sabzevari S. The simultaneous presence of hydatid cysts in the liver and spleen: A case report with splenectomy. J Biomed Health 2018;3:24-30.

Khazaei S, Rezaeian S, Khazaei Z, Goodarzi E, Khazaei S, Mohammadian M, et al. Epidemiological and clinical characteristics of patients with hydatid cysts in Khorasan Razavi Province, from 2011 to 2014. Iran J Parasitol 2016;11:364-70.

Salehi M, Yaghfoori S, Bahari P, Seyedabadi M, Parande Shirvan S. Molecular characterization of Echinococcus granulosus sensu lato from livestock in North Khorasan province, Iran. Iran J Parasitol 2018;13:577-86.

Aghabiglooie A, Arab L. Survey of parents’ attitude towards autopsy birth in Tehran Maternity hospitals affiliated to Iran University of medical sciences in 2006. IJLMO 2006;13:147-51.