Hemorrhages in the root of the tongue in fire fatalities

The incidence and diagnostic value

Li Quan, Bao Li Zhu, Kaori Ishida, Shigeki Oritani, Mari Taniguchi, Yasunobu Kamikodai, Kohei Tsuda, Masaki Q Fujita, Hitoshi Maeda

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Hemorrhages in the root of the tongue have been considered to be a finding associated with asphyxiation. The aim of the present study was to examine the incidence and diagnostic value of the lingual hemorrhages in fire fatalities with reference to the related pathological and toxicological findings, in comparison with asphyxiation and drowning cases. In fire fatalities (n = 90), small to marked hemorrhages were observed in 26 cases (28.9%). In the reference groups (asphyxiation and drowning), the hemorrhages were frequently observed in ligature strangulation (n = 10/15), manual strangulation (n = 5/7) and traumatic asphyxia (n = 4/5). In fire fatalities, the hemorrhages were closely associated with a lower blood carboxyhemoglobin (COHb) level, suggesting an influence of fatal burns: n = 16/32 (50.0%), n = 8/26 (30.8%) and n = 2/32 (6.2%), respectively, in cases of COHb < 30%, 30-60% and > 60%. These findings suggested possible acute hemodynamic disturbance in the head including brain (cranial congestion) in the dying process due to fires. A careful differentiation from neck compression may be necessary in such cases.

Original languageEnglish
JournalLegal Medicine
Volume5
Issue numberSUPPL. 1
DOIs
Publication statusPublished - 2003
Externally publishedYes

Fingerprint

Tongue
Asphyxia
Hemorrhage
Incidence
Carboxyhemoglobin
Burns
Toxicology
Ligation
Neck
Hemodynamics
Head
Brain

Keywords

  • Asphyxiation
  • Carboxyhemoglobin concentration
  • Fire fatality
  • Forensic pathology
  • Hemorrhage in tongue

ASJC Scopus subject areas

  • Genetics
  • Pathology and Forensic Medicine
  • Psychiatry and Mental health
  • Public Health, Environmental and Occupational Health

Cite this

Quan, L., Zhu, B. L., Ishida, K., Oritani, S., Taniguchi, M., Kamikodai, Y., ... Maeda, H. (2003). Hemorrhages in the root of the tongue in fire fatalities: The incidence and diagnostic value. Legal Medicine, 5(SUPPL. 1). https://doi.org/10.1016/S1344-6223(02)00164-5

Hemorrhages in the root of the tongue in fire fatalities : The incidence and diagnostic value. / Quan, Li; Zhu, Bao Li; Ishida, Kaori; Oritani, Shigeki; Taniguchi, Mari; Kamikodai, Yasunobu; Tsuda, Kohei; Fujita, Masaki Q; Maeda, Hitoshi.

In: Legal Medicine, Vol. 5, No. SUPPL. 1, 2003.

Research output: Contribution to journalArticle

Quan, L, Zhu, BL, Ishida, K, Oritani, S, Taniguchi, M, Kamikodai, Y, Tsuda, K, Fujita, MQ & Maeda, H 2003, 'Hemorrhages in the root of the tongue in fire fatalities: The incidence and diagnostic value', Legal Medicine, vol. 5, no. SUPPL. 1. https://doi.org/10.1016/S1344-6223(02)00164-5
Quan, Li ; Zhu, Bao Li ; Ishida, Kaori ; Oritani, Shigeki ; Taniguchi, Mari ; Kamikodai, Yasunobu ; Tsuda, Kohei ; Fujita, Masaki Q ; Maeda, Hitoshi. / Hemorrhages in the root of the tongue in fire fatalities : The incidence and diagnostic value. In: Legal Medicine. 2003 ; Vol. 5, No. SUPPL. 1.
@article{9b70acb03fba4242abad8881769d63c2,
title = "Hemorrhages in the root of the tongue in fire fatalities: The incidence and diagnostic value",
abstract = "Hemorrhages in the root of the tongue have been considered to be a finding associated with asphyxiation. The aim of the present study was to examine the incidence and diagnostic value of the lingual hemorrhages in fire fatalities with reference to the related pathological and toxicological findings, in comparison with asphyxiation and drowning cases. In fire fatalities (n = 90), small to marked hemorrhages were observed in 26 cases (28.9{\%}). In the reference groups (asphyxiation and drowning), the hemorrhages were frequently observed in ligature strangulation (n = 10/15), manual strangulation (n = 5/7) and traumatic asphyxia (n = 4/5). In fire fatalities, the hemorrhages were closely associated with a lower blood carboxyhemoglobin (COHb) level, suggesting an influence of fatal burns: n = 16/32 (50.0{\%}), n = 8/26 (30.8{\%}) and n = 2/32 (6.2{\%}), respectively, in cases of COHb < 30{\%}, 30-60{\%} and > 60{\%}. These findings suggested possible acute hemodynamic disturbance in the head including brain (cranial congestion) in the dying process due to fires. A careful differentiation from neck compression may be necessary in such cases.",
keywords = "Asphyxiation, Carboxyhemoglobin concentration, Fire fatality, Forensic pathology, Hemorrhage in tongue",
author = "Li Quan and Zhu, {Bao Li} and Kaori Ishida and Shigeki Oritani and Mari Taniguchi and Yasunobu Kamikodai and Kohei Tsuda and Fujita, {Masaki Q} and Hitoshi Maeda",
year = "2003",
doi = "10.1016/S1344-6223(02)00164-5",
language = "English",
volume = "5",
journal = "Legal Medicine",
issn = "1344-6223",
publisher = "Elsevier",
number = "SUPPL. 1",

}

TY - JOUR

T1 - Hemorrhages in the root of the tongue in fire fatalities

T2 - The incidence and diagnostic value

AU - Quan, Li

AU - Zhu, Bao Li

AU - Ishida, Kaori

AU - Oritani, Shigeki

AU - Taniguchi, Mari

AU - Kamikodai, Yasunobu

AU - Tsuda, Kohei

AU - Fujita, Masaki Q

AU - Maeda, Hitoshi

PY - 2003

Y1 - 2003

N2 - Hemorrhages in the root of the tongue have been considered to be a finding associated with asphyxiation. The aim of the present study was to examine the incidence and diagnostic value of the lingual hemorrhages in fire fatalities with reference to the related pathological and toxicological findings, in comparison with asphyxiation and drowning cases. In fire fatalities (n = 90), small to marked hemorrhages were observed in 26 cases (28.9%). In the reference groups (asphyxiation and drowning), the hemorrhages were frequently observed in ligature strangulation (n = 10/15), manual strangulation (n = 5/7) and traumatic asphyxia (n = 4/5). In fire fatalities, the hemorrhages were closely associated with a lower blood carboxyhemoglobin (COHb) level, suggesting an influence of fatal burns: n = 16/32 (50.0%), n = 8/26 (30.8%) and n = 2/32 (6.2%), respectively, in cases of COHb < 30%, 30-60% and > 60%. These findings suggested possible acute hemodynamic disturbance in the head including brain (cranial congestion) in the dying process due to fires. A careful differentiation from neck compression may be necessary in such cases.

AB - Hemorrhages in the root of the tongue have been considered to be a finding associated with asphyxiation. The aim of the present study was to examine the incidence and diagnostic value of the lingual hemorrhages in fire fatalities with reference to the related pathological and toxicological findings, in comparison with asphyxiation and drowning cases. In fire fatalities (n = 90), small to marked hemorrhages were observed in 26 cases (28.9%). In the reference groups (asphyxiation and drowning), the hemorrhages were frequently observed in ligature strangulation (n = 10/15), manual strangulation (n = 5/7) and traumatic asphyxia (n = 4/5). In fire fatalities, the hemorrhages were closely associated with a lower blood carboxyhemoglobin (COHb) level, suggesting an influence of fatal burns: n = 16/32 (50.0%), n = 8/26 (30.8%) and n = 2/32 (6.2%), respectively, in cases of COHb < 30%, 30-60% and > 60%. These findings suggested possible acute hemodynamic disturbance in the head including brain (cranial congestion) in the dying process due to fires. A careful differentiation from neck compression may be necessary in such cases.

KW - Asphyxiation

KW - Carboxyhemoglobin concentration

KW - Fire fatality

KW - Forensic pathology

KW - Hemorrhage in tongue

UR - http://www.scopus.com/inward/record.url?scp=0038415914&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0038415914&partnerID=8YFLogxK

U2 - 10.1016/S1344-6223(02)00164-5

DO - 10.1016/S1344-6223(02)00164-5

M3 - Article

VL - 5

JO - Legal Medicine

JF - Legal Medicine

SN - 1344-6223

IS - SUPPL. 1

ER -