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Forensic Science, Medicine and Pathology

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01.11.2021 | Letter to the Editor

Regarding “Post-mortem CT lung findings at a medicolegal institute in SARS-CoV-2 RT-PCR positive cases with autopsy correlation”

verfasst von: Fabio De-Giorgio, Eva Bergamin, Francesca Cittadini, Alessandro Cina, Giuseppe Vetrugno

Erschienen in: Forensic Science, Medicine and Pathology | Ausgabe 1/2022

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With considerable interest, we read the article by O’Donnell et al. [1]. The article confirms our previous assumption [2] that the sole use of postmortem computed tomography (PMCT) should not be recommended as a tool for determining the cause of death of COVID-19 patients [1]. In this regard, we would like to share with the readers the case of a 42-year-old woman who died of complications of COVID-19 viral infection. We had the opportunity to examine the body by using two total-body CT scans that were performed prior to the autopsy; the first exam was performed perimortem, whereas the second exam was performed at a PMI of > 72 h. This allowed us to highlight the limitations of PMCT in terms of COVID-19 diagnosis. …

O’Donnell C, Iles L, Woodford N. Post-mortem CT lung findings at a medicolegal institute in SARS-CoV-2 RT-PCR positive cases with autopsy correlation. Forensic Sci Med Pathol. 2021;23:1–10.

De-Giorgio F, Cittadini F, Cina A, Cavarretta E, Biondi-Zoccai G, Vetrugno G, et al. Use of post-mortem chest computed tomography in Covid-19 pneumonia. Forensic Sci Int. 2021;325:110851.

Fitzek A, Sperhake J, Edler C, Schröder AS, Heinemann A, Heinrich F, et al. Evidence for systematic autopsies in COVID-19 positive deceased: Case report of the first German investigated COVID-19 death. Rechtsmedizin (Berl). 2020;25:1–6.

De-Giorgio F, Grassi VM, Bergamin E, Cina A, Del Nonno F, Colombo D, et al. Dying “from” or “with” COVID-19 during the pandemic: Medico-legal issues according to a population perspective. Int J Environ Res Public Health. 2021;18:8851.CrossRef

De-Giorgio F, Vetrugno G. Is histological examination always necessary to determine a cause of death? Of course it is! Forensic Sci Med Pathol. 2014;10:477–8.CrossRef

Titel: Regarding “Post-mortem CT lung findings at a medicolegal institute in SARS-CoV-2 RT-PCR positive cases with autopsy correlation”
verfasst von: Fabio De-Giorgio
Eva Bergamin
Francesca Cittadini
Alessandro Cina
Giuseppe Vetrugno
Publikationsdatum: 01.11.2021
Verlag: Springer US
Erschienen in: Forensic Science, Medicine and Pathology / Ausgabe 1/2022
Print ISSN: 1547-769X
Elektronische ISSN: 1556-2891
DOI: https://doi.org/10.1007/s12024-021-00430-9

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