Deaths due to hunger strike: post-mortem findings.
Hunger strike is described as voluntary refusal of food and/or fluids. Prolonged starvation may produce many adverse events including even death in rare circumstances. Here, we present three fatal cases (all males, 25-38 years) died from hunger strike. In all corpses, obvious muscle wasting with reduced subcutaneous and internal fat deposits, and atrophy in some organs were demonstrated at autopsy. The extraordinary long starvation period before death could presumably be linked to the thiamine uptake in this period, which had been discontinued by all subjects before the death occurred. Prolonged caloric deficiency with subsequent complications such as multiple organ failure, severe sepsis and ventricular fibrillation could account as major causes of death in these subjects. The competence of the physicians working with hunger strikers about the processes and potential problems is of great importance since they have to acknowledge about them to their patients.
Department of Forensic Medicine, School of Medicine, Trakya University, 22030 Edirne, Turkey. galtun@trakya.edu.tr
Gurcan
G
Altun
Bulent
B
Akansu
Betul Ugur
BU
Altun
Derya
D
Azmak
Ahmet
A
Yilmaz
D000273:Adipose Tissue / Q000473:pathology; D000328:Adult; D001202:Ascitic Fluid / Q000473:pathology; D001921:Brain / Q000473:pathology; D005554:Forensic Medicine; D005704:Gallbladder / Q000473:pathology; D041981:Gastrointestinal Tract / Q000473:pathology; D006801:Humans; D007668:Kidney / Q000473:pathology; D008099:Liver / Q000473:pathology; D008168:Lung / Q000473:pathology; D008297:Male; D009102:Multiple Organ Failure / Q000209:etiology; D009133:Muscular Atrophy / Q000473:pathology; D009206:Myocardium / Q000473:pathology; D009929:Organ Size; D010490:Pericardial Effusion / Q000473:pathology; D011057:Politics; D011329:Prisoners; D018805:Sepsis / Q000209:etiology; D013154:Spleen / Q000473:pathology; D013217:Starvation / Q000150:complications / Q000473:pathology*; D014693:Ventricular Fibrillation / Q000209:etiology