Rhabdomyolysis and vascular thrombosis supporting the electrocution related death

Introduction: Electrocution related death remains an ambiguous judgement and requires numerous valid evidence for proper medico-legal diagnosis. While the presence of electrical burn marks is a significant macroscopic indicator, it can be absent, especially on moist skin. The electrical mark s...

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Main Authors: Chng, Kay Ly, Mussadik, Umul Khairil Fatimah, Zaki, Hafizatul Solehah, Hasim, Husna Syaza
Format: Article
Language:English
English
English
Published: Academy of Medicine Malaysia 2024
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Online Access:http://irep.iium.edu.my/114881/1/114881_Rhabdomyolysis%20and%20vascular%20thrombosis.pdf
http://irep.iium.edu.my/114881/2/114881_Rhabdomyolysis%20and%20vascular%20thrombosis_SCOPUS.pdf
http://irep.iium.edu.my/114881/13/114881_Rhabdomyolysis%20and%20vascular%20thrombosis_WOS.pdf
http://irep.iium.edu.my/114881/
https://www.mjpath.org.my/
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spelling my.iium.irep.1148812024-10-08T06:41:53Z http://irep.iium.edu.my/114881/ Rhabdomyolysis and vascular thrombosis supporting the electrocution related death Chng, Kay Ly Mussadik, Umul Khairil Fatimah Zaki, Hafizatul Solehah Hasim, Husna Syaza RB Pathology Introduction: Electrocution related death remains an ambiguous judgement and requires numerous valid evidence for proper medico-legal diagnosis. While the presence of electrical burn marks is a significant macroscopic indicator, it can be absent, especially on moist skin. The electrical mark still represents a fundamental indicator above all in the medico-legal field, but the identification of pathognomonic elements and signs not limited to the skin alone could be a valid help in the future, especially in unclear cases. Case Report: The deceased was brought-in-dead to the hospital from their workplace, with no signs of fatal natural diseases. External examination revealed a Y-shaped burn mark on the right side of the neck and collapsed blisters with greying rings on both heels. Internal examination showed no alarming findings. Further, histopathological analysis of the foot blisters and neck burn revealed intraepidermal detachment, elongated nuclei, and coagulative necrosis. Notably, the presence of muscle fibre casts in kidney tubules and microthrombi in lung sections which indicate rhabdomyolysis and vascular thrombosis supported electrocution-related death. Conclusion: These positive findings of the electrical burn marks externally and significant histopathological changes, collectively support the death was due to electrocution, after excluding any major, fatal injuries. Albeit, a detailed inspection of the crime scene plays an important role, in order to classify the electrocution related death. Academy of Medicine Malaysia 2024-08 Article PeerReviewed application/pdf en http://irep.iium.edu.my/114881/1/114881_Rhabdomyolysis%20and%20vascular%20thrombosis.pdf application/pdf en http://irep.iium.edu.my/114881/2/114881_Rhabdomyolysis%20and%20vascular%20thrombosis_SCOPUS.pdf application/pdf en http://irep.iium.edu.my/114881/13/114881_Rhabdomyolysis%20and%20vascular%20thrombosis_WOS.pdf Chng, Kay Ly and Mussadik, Umul Khairil Fatimah and Zaki, Hafizatul Solehah and Hasim, Husna Syaza (2024) Rhabdomyolysis and vascular thrombosis supporting the electrocution related death. Malaysian Journal of Pathology, 46 (2). pp. 331-337. ISSN 0126-8635 https://www.mjpath.org.my/
institution Universiti Islam Antarabangsa Malaysia
building IIUM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider International Islamic University Malaysia
content_source IIUM Repository (IREP)
url_provider http://irep.iium.edu.my/
language English
English
English
topic RB Pathology
spellingShingle RB Pathology
Chng, Kay Ly
Mussadik, Umul Khairil Fatimah
Zaki, Hafizatul Solehah
Hasim, Husna Syaza
Rhabdomyolysis and vascular thrombosis supporting the electrocution related death
description Introduction: Electrocution related death remains an ambiguous judgement and requires numerous valid evidence for proper medico-legal diagnosis. While the presence of electrical burn marks is a significant macroscopic indicator, it can be absent, especially on moist skin. The electrical mark still represents a fundamental indicator above all in the medico-legal field, but the identification of pathognomonic elements and signs not limited to the skin alone could be a valid help in the future, especially in unclear cases. Case Report: The deceased was brought-in-dead to the hospital from their workplace, with no signs of fatal natural diseases. External examination revealed a Y-shaped burn mark on the right side of the neck and collapsed blisters with greying rings on both heels. Internal examination showed no alarming findings. Further, histopathological analysis of the foot blisters and neck burn revealed intraepidermal detachment, elongated nuclei, and coagulative necrosis. Notably, the presence of muscle fibre casts in kidney tubules and microthrombi in lung sections which indicate rhabdomyolysis and vascular thrombosis supported electrocution-related death. Conclusion: These positive findings of the electrical burn marks externally and significant histopathological changes, collectively support the death was due to electrocution, after excluding any major, fatal injuries. Albeit, a detailed inspection of the crime scene plays an important role, in order to classify the electrocution related death.
format Article
author Chng, Kay Ly
Mussadik, Umul Khairil Fatimah
Zaki, Hafizatul Solehah
Hasim, Husna Syaza
author_facet Chng, Kay Ly
Mussadik, Umul Khairil Fatimah
Zaki, Hafizatul Solehah
Hasim, Husna Syaza
author_sort Chng, Kay Ly
title Rhabdomyolysis and vascular thrombosis supporting the electrocution related death
title_short Rhabdomyolysis and vascular thrombosis supporting the electrocution related death
title_full Rhabdomyolysis and vascular thrombosis supporting the electrocution related death
title_fullStr Rhabdomyolysis and vascular thrombosis supporting the electrocution related death
title_full_unstemmed Rhabdomyolysis and vascular thrombosis supporting the electrocution related death
title_sort rhabdomyolysis and vascular thrombosis supporting the electrocution related death
publisher Academy of Medicine Malaysia
publishDate 2024
url http://irep.iium.edu.my/114881/1/114881_Rhabdomyolysis%20and%20vascular%20thrombosis.pdf
http://irep.iium.edu.my/114881/2/114881_Rhabdomyolysis%20and%20vascular%20thrombosis_SCOPUS.pdf
http://irep.iium.edu.my/114881/13/114881_Rhabdomyolysis%20and%20vascular%20thrombosis_WOS.pdf
http://irep.iium.edu.my/114881/
https://www.mjpath.org.my/
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