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A Fatal Case of Saponated Cresol Ingestion


Authors: Hiroshi Kinoshita;  Chiaki Fuke *;  Akira Kubota;  Minori Nishiguchi;  Harumi Ouchi;  Takako Minami;  Kiyoshi Matsui;  Takehiko Yamamura;  Hiroyuki Motomura;  Kazumasa Yoshinaga ** ***;  Seishiro Marukawa ***;  Shigeru Hishida
Authors‘ workplace: Department of Forensic Medical Science, Graduate School of Medicine, University of *;  Forensic Science Laboratory, Hyogo Prefectural Police Headquarters, 4- Shimoyamate-dori 5-chome, Chuo-ku, Kobe, 650-8510, Japan **;  Department of Legal Medicine and Emergency, Critical Care and Disaster Medicine ***;  the Ryukyus, Uehara 207, Nishiharacho, Okinawa, 903-025, Japan 1;  Hyogo College of Medicine, - , Mukogawa-cho, Nishinomiya, Hyogo, 663-850 , Japan 1
Published in: Soud Lék., 51, 2006, No. 3, p. 47-50

Overview

We describe here a case of suicidal poisoning by saponated cresol ingestion. A 41 year-old male was found unconsciousness in a park in the early morning, and an empty bottle of saponated cresol was found beside him. His death was confirmed approximately 2 hours later, despite attempts at resuscitation and intensive care. The autopsy revealed severe morphological damage of the upper gastrointestinal tract and congestion of the lung. We also observed by histopathological examination severe lung edema and severe erosion of the esophagus and stomach. Toxicological analysis also identified a high concentration of cresol isomer in the blood and gastric contents. The cause of death was given as cresol poisoning, based on the results of the autopsy and toxicological examination.

Key words:
saponated cresol – morphological damage – high performance liquid chromatography (HPLC) – poisoning


Labels
Anatomical pathology Forensic medical examiner Toxicology
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