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01-03-2011 | ORIGINAL ARTICLE

Petechial bleedings in sudden infant death

Authors: Tony Fracasso, Mechtild Vennemann, Mirjam Klöcker, Thomas Bajanowski, Bernd Brinkmann, Heidi Pfeiffer, The GeSID Group

Published in: International Journal of Legal Medicine | Issue 2/2011

Abstract

The autopsy reports of 484 cases of deceased infants (201 females, 283 males) were analysed retrospectively for the existence of external and internal petechial bleedings (PET). The cases were divided into five groups on the basis of the cause of death (sudden infant death syndrome, sepsis, airway infections, asphyxia and trauma). Internal PET (pleural, pericardial, epicardial, thymic and peritoneal) were observed in each group with a lower prevalence in cases of trauma. The highest prevalence of external (cutaneous and conjunctival) PET was detected in cases of asphyxia (38% and 31%, respectively). However, even if with low prevalence, such bleedings were detected in every group. Factors like sex, age, cardiopulmonary resuscitation and its duration did not influence the presence of PET. The detection of external PET at autopsy is a suspicious finding that suggests asphyxia. Because of the possible natural origin of these bleedings, the medicolegal investigation has to be as complete as possible and has to include histology as mandatory.

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Title: Petechial bleedings in sudden infant death
Authors: Tony Fracasso
Mechtild Vennemann
Mirjam Klöcker
Thomas Bajanowski
Bernd Brinkmann
Heidi Pfeiffer
The GeSID Group
Publication date: 01-03-2011
Publisher: Springer-Verlag
Published in: International Journal of Legal Medicine / Issue 2/2011
Print ISSN: 0937-9827
Electronic ISSN: 1437-1596
DOI: https://doi.org/10.1007/s00414-010-0421-0

2024 ASCO Annual Meeting

Springer Medicine

Petechial bleedings in sudden infant death

Abstract

2024 ASCO Annual Meeting

Springer Medicine

Abstract

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