Skip to main content
main-content
Erschienen in: International Journal of Legal Medicine 3/2016

18.09.2015 | Case Report

An unusual autopsy case of lethal hypothermia exacerbated by body lice-induced severe anemia

verfasst von: Akina Nara, Hisashi Nagai, Rutsuko Yamaguchi, Yohsuke Makino, Fumiko Chiba, Ken-ichi Yoshida, Daisuke Yajima, Hirotaro Iwase

Erschienen in: International Journal of Legal Medicine | Ausgabe 3/2016

Einloggen, um Zugang zu erhalten

Abstract

Pediculus humanus humanus (known as body lice) are commonly found in the folds of clothes, and can cause skin disorders when they feed on human blood, resulting in an itching sensation. Body lice are known as vectors of infectious diseases, including typhus, recurrent fever, and trench fever. An infestation with blood-sucking body lice induces severe cutaneous pruritus, and this skin disorder is known as “vagabond’s disease.” A body lice infestation is sometimes complicated with iron deficiency anemia. In the present case, a man in his late 70s died of lethal hypothermia in the outdoors during the winter season. The case history and autopsy findings revealed that the cause of the lethal hypothermia was iron deficiency anemia, which was associated with a prolonged infestation of blood-sucking body lice. Also, he had vagabond’s disease because the skin on his body was abnormal and highly pigmented. This is an unusual autopsy case since the body lice contributed to the cause of the death.
Literatur
1.
Zurück zum Zitat Gratz NG, World Health Organization, Division of Control of Tropical Diseases, WHO Pesticide Evaluation Scheme (1997) Human lice: their prevalence, control and resistance to insecticides: a review 1985–1997. World Health Organization, Geneva, pp 28–31 Gratz NG, World Health Organization, Division of Control of Tropical Diseases, WHO Pesticide Evaluation Scheme (1997) Human lice: their prevalence, control and resistance to insecticides: a review 1985–1997. World Health Organization, Geneva, pp 28–31
10.
Zurück zum Zitat Londos C, Brasaemle DL, Schultz CJ, Segrest JP, Kimmel AR (1999) Perilipins, ADRP, and other proteins that associate with intracellular neutral lipid droplets in animal cells. Semin Cell Dev Biol 10:51–58. doi: 10.​1006/​scdb.​1998.​0275 CrossRef Londos C, Brasaemle DL, Schultz CJ, Segrest JP, Kimmel AR (1999) Perilipins, ADRP, and other proteins that associate with intracellular neutral lipid droplets in animal cells. Semin Cell Dev Biol 10:51–58. doi: 10.​1006/​scdb.​1998.​0275 CrossRef
12.
Zurück zum Zitat Cohle SD, Saleem A, Makkaoui DE (1981) Effects of storage of blood on stability of hematologic parameters. Am J Clin Pathol 76:67–69 CrossRef Cohle SD, Saleem A, Makkaoui DE (1981) Effects of storage of blood on stability of hematologic parameters. Am J Clin Pathol 76:67–69 CrossRef
14.
Zurück zum Zitat Brown D, Gatter K, Natkunam Y, Warnke R (2008) Bone marrow diagnosis: an illustrated guide, 2nd edn. Wiley-Blackwell, New Jersey, pp 31–40 Brown D, Gatter K, Natkunam Y, Warnke R (2008) Bone marrow diagnosis: an illustrated guide, 2nd edn. Wiley-Blackwell, New Jersey, pp 31–40
17.
Zurück zum Zitat Hau V, Muhi-Iddin N (2014) A ghost covered in lice: a case of severe blood loss with long-standing heavy pediculosis capitis infestation. BMJ Case Rep. doi: 10.​1136/​bcr-2014-206623 Hau V, Muhi-Iddin N (2014) A ghost covered in lice: a case of severe blood loss with long-standing heavy pediculosis capitis infestation. BMJ Case Rep. doi: 10.​1136/​bcr-2014-206623
20.
Zurück zum Zitat Keating FR Jr, Jones JD, Elveback LR, Randall RV (1969) The relation of age and sex to distribution of values in healthy adults of serum calcium, inorganic phosphorus, magnesium, alkaline phosphatase, total proteins, albumin, and blood urea. J Lab Clin Med 73:825–834 PubMed Keating FR Jr, Jones JD, Elveback LR, Randall RV (1969) The relation of age and sex to distribution of values in healthy adults of serum calcium, inorganic phosphorus, magnesium, alkaline phosphatase, total proteins, albumin, and blood urea. J Lab Clin Med 73:825–834 PubMed
22.
Zurück zum Zitat Busuttil A, Keeling J (2008) Paediatric forensic medicine and pathology, 2nd edn. CRC press, Florida, pp 106–124 CrossRef Busuttil A, Keeling J (2008) Paediatric forensic medicine and pathology, 2nd edn. CRC press, Florida, pp 106–124 CrossRef
23.
Zurück zum Zitat Gomi I, Fukushima H, Shiraki M, Miwa Y, Ando T, Takai K, Moriwaki H (2007) Relationship between serum albumin level and aging in community-dwelling self-supported elderly population. J Nutr Sci Vitaminol (Tokyo) 53:37–42. doi: 10.​3177/​jnsv.​53.​37 CrossRef Gomi I, Fukushima H, Shiraki M, Miwa Y, Ando T, Takai K, Moriwaki H (2007) Relationship between serum albumin level and aging in community-dwelling self-supported elderly population. J Nutr Sci Vitaminol (Tokyo) 53:37–42. doi: 10.​3177/​jnsv.​53.​37 CrossRef
25.
Zurück zum Zitat Seki N, Himukai K, Nakagawa Y, Yaguchi N, Makigami K (2002) Body lice measure in Toshima City strategy with a combination health and welfare department. Nihon Koshu Eisei Zasshi 49:941–947 PubMed Seki N, Himukai K, Nakagawa Y, Yaguchi N, Makigami K (2002) Body lice measure in Toshima City strategy with a combination health and welfare department. Nihon Koshu Eisei Zasshi 49:941–947 PubMed
27.
Zurück zum Zitat Mikhail M, Weinberg JM, Smith BL (2007) What's eating you? Body lice (Pediculus humanus var corporis). Cutis 80:397–398 PubMed Mikhail M, Weinberg JM, Smith BL (2007) What's eating you? Body lice (Pediculus humanus var corporis). Cutis 80:397–398 PubMed
Metadaten
Titel
An unusual autopsy case of lethal hypothermia exacerbated by body lice-induced severe anemia
verfasst von
Akina Nara
Hisashi Nagai
Rutsuko Yamaguchi
Yohsuke Makino
Fumiko Chiba
Ken-ichi Yoshida
Daisuke Yajima
Hirotaro Iwase
Publikationsdatum
18.09.2015
Verlag
Springer Berlin Heidelberg
Erschienen in
International Journal of Legal Medicine / Ausgabe 3/2016
Print ISSN: 0937-9827
Elektronische ISSN: 1437-1596
DOI
https://doi.org/10.1007/s00414-015-1266-3

Weitere Artikel der Ausgabe 3/2016

International Journal of Legal Medicine 3/2016 Zur Ausgabe

Neu im Fachgebiet Rechtsmedizin

Open Access 15.08.2022 | Mammakarzinom | CME

Prädiktive molekulare Diagnostik beim Mammakarzinom

Welche Anforderungen stellen sich heute und in Zukunft für die Pathologie?

10.08.2022 | Schwerpunkt: Akkreditierung und Zertifizierung (Qualitätssicherung)

Ringversuche – ein zentrales Mittel der externen Qualitätssicherung

03.08.2022 | Schwerpunkt: Akkreditierung und Zertifizierung (Qualitätssicherung)

Akkreditierung in der Pathologie und Neuropathologie

Wege und Pitfalls

25.07.2022 | Schwerpunkt: Akkreditierung und Zertifizierung (Qualitätssicherung)

Die Akkreditierung in der Pathologie und Neuropathologie in Deutschland

Rahmenbedingungen und Voraussetzungen