Strontium Levels in Different Causes of Death: Diagnostic Efficacy in Drowning

Pérez-Cárceles, María D.; Sibon, Amaury; Castillo, Mary; Vizcaya, M. A.; Osuna, Eduardo; Casas, Teresa; Romero, J.L.; Luna, A.

doi:10.1007/s12011-008-8180-1

Cited by 18 publications

(12 citation statements)

References 16 publications

(35 reference statements)

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“…These authors confirmed the usefulness of cardiac blood (or postmortem serum from cardiac blood) Sr levels in diagnosing seawater and freshwater drownings, together with circumstantial data and morphological findings, especially in cases which have been in the water for less than 72 h [116][117][118][119][120][121][122][123].…”

Section: Electrolytessupporting

confidence: 57%

“…If antemortem findings are not available, vitreous sodium levels lower than 120 mmol/l could support the diagnosis of fatal hyponatremia [104]. Available clinical laboratory methodologies [122] VH vitreous humor, CSF cerebrospinal fluid, PF pericardial fluid, 3HB 3-β-hydroxybutyrate, HPLC high-performance liquid chromatography, EDTA ethylenediaminetetraacetic acid, HS-GC headspace-gas chromatography, GC-FID gas chromatography-flame ionization detector, GC-MS gas chromatography-mass spectrometry Vitreous potassium levels [1] are of no help in determining the potassium status of an individual immediately prior to death. Increased vitreous potassium levels have no diagnostic value, whereas low vitreous levels are theoretically indicative of hypokalemia.…”

Section: Electrolytesmentioning

confidence: 99%

“…Studies on the diagnostic value of strontium (Sr) in seawater and freshwater drowning cases have been performed by Azparren et al [116][117][118][119][120][121], who measured Sr concentrations in left and right ventricular blood, and by Pérez-Cárceles et al [122], who measured Sr concentrations in postmortem serum from left and right ventricular blood as well as femoral vein blood. These authors confirmed the usefulness of cardiac blood (or postmortem serum from cardiac blood) Sr levels in diagnosing seawater and freshwater drownings, together with circumstantial data and morphological findings, especially in cases which have been in the water for less than 72 h [116][117][118][119][120][121][122][123].…”

Section: Electrolytesmentioning

confidence: 99%

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Postmortem chemistry update part I

2011

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Postmortem chemistry is becoming increasingly essential in the forensic pathology routine and considerable progress has been made over the past years. Biochemical analyses of vitreous humor, cerebrospinal fluid, blood and urine may provide significant information in determining the cause of death or in elucidating forensic cases. Postmortem chemistry may essentially contribute in the determination of the cause of death when the pathophysiological changes involved in the death process cannot be detected by morphological methods (e.g. diabetes mellitus, alcoholic ketoacidosis and electrolytic disorders). It can also provide significant information and useful support in other forensic situations, including anaphylaxis, hypothermia, sepsis and hormonal disturbances. In this article, we present a review of the literature that covers this vast topic and we report the results of our observations. We have focused our attention on glucose metabolism, renal function and electrolytic disorders.

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Section: Electrolytessupporting

confidence: 57%

Section: Electrolytesmentioning

confidence: 99%

Section: Electrolytesmentioning

confidence: 99%

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Postmortem chemistry update part I

2011

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“…The obtained concentrations of strontium in the ventricles and the differences in concentrations between the ventricles were not as high as the “typical drowning” definition of Azparren et al. However, they were within the cutoff ranges supporting the diagnosis of drowning, especially since the bodies had been recovered from seawater within 24 h .…”

Section: Discussionmentioning

confidence: 51%

“…Strontium was considered just as a supportive parameter for the diagnosis of drowning as many different factors reported in the literature can be effective on strontium concentrations. The obtained concentrations of strontium in the ventricles and the differences in concentrations between the ventricles were not as high as the "typical drowning" definition of Azparren et al However, they were within the cutoff ranges supporting the diagnosis of drowning, especially since the bodies had been recovered from seawater within 24 h (34)(35)(36)(37)(38)(39)(40)(41)(42).…”

Section: Discussionmentioning

confidence: 60%

Simultaneous Homicide–Suicide: A Case Report of Double Drowning

Melez

Avşar

Başpınar

et al. 2014

Journal of Forensic Sciences

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Homicide-suicide is a tragic phenomenon which typically does not result in a criminal charge or trial. However, correct diagnosis and classification of homicide-suicide cases are important to determine the perpetrators and dynamics of each category properly. The deaths in the homicide-suicide acts can be divided into two categories with respect to the number of involved individuals: dyadic deaths and triple or multiple deaths. These two categories can also be divided into two subgroups according to the chronology of the incidents: simultaneous deaths and consecutive deaths. Herein, a simultaneous homicide-suicide case of a father and daughter where both deaths occurred through drowning which was not found in the selected literature review and where the victim was a child is presented. The article aims to clarify the term discrepancies about multiple death cases in the literature and to discuss the pathological and psychosocial characteristics of the simultaneous dyadic death cases.

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