[Fatality in diabetic coma during foreign travel].
The case history and the autopsy findings of a 44-year-old women who died shortly after her flight to Khartoum (Sudan) in a hospital is presented. The clinical diagnosis in Africa was "shock caused by gastroenteritis". The body was embalmed thoroughly and brought back to Germany. The autopsy was performed just prior to the cremation (according to "section 3 Abs. 2 Nr. 2 Feuerbestattungsgesetz"). Morphological findings (nodular glomerulosclerosis and glycogen nephrosis with Armanni-Ebstein-cells) and postmortem biochemical analyses of vitreous humour led to the diagnosis of a hyperglycaemic coma. The fatal course might have been prevented by sufficient health information to the patient (who suffered from type 1 diabetes); the diagnostic errors in the hospital could have easily been avoided by careful anamnesis and diagnostic procedures.
Freislederer
A
A
Institut für Rechtsmedizin, Universität-Gesamthochschule-Essen.
Püschel
K
K
D000328:Adult; D001786:Blood Glucose / Q000032:analysis; D002423:Cause of Death; D003906:Developing Countries; D003922:Diabetes Mellitus, Type 1 / Q000473:pathology*; D003926:Diabetic Coma / Q000473:pathology*; D003928:Diabetic Nephropathies / Q000473:pathology*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007668:Kidney / Q000473:pathology; D013397:Sudan; D014195:Travel; D014822:Vitreous Body / Q000473:pathology
D001786:Blood Glucose
Todesfall im Coma diabeticum bei Auslandsaufenthalt.