An Evaluation of the Autopsy Cases of Carbon monoxide Poisoning in Trabzon Between 2009-2016
DOI:
https://doi.org/10.17986/blm.2018345601Keywords:
carbon monoxide, autopsy, poisoning, toxicologyAbstract
Objective: Carbon monoxide related deaths, which are generally preventable accidents, and more common when compared with other toxic substance consumption, arouse public attention in our country.
Materials and Methods: In this study, the aim is to investigate different features of carbon monoxide poisoning related deaths autopsied in Trabzon in 8-year period of time and demonstrate medico-legal aspects of this issue.
Results: Our study consists of all deaths due to carbon monoxide poisoning and autopsied by Trabzon Morgue Department of the Council of Forensic Medicine of Turkey between 2009 and 2016. Records of a total of 7133 criminal cases who were autopsied between these years were examined and 215 cases who died due to CO poisoning were evaluated for age, sex, the month of the event occurred, origin, death time, CO source and carboxyhemoglobin (COHb) values. 215 criminal cases were constituting 3.01% of 7133 criminal cases who were autopsied within 8 years in Trabzon. 91 of the cases were (42.3%) female and 124 were (57.7%) male and the male/female case ratio was 1.4. Mean age of the cases was 48.8±27.1years. 24.1% of deaths occurred in January 74% at home. CO source was found to be charcoal in 55.3% of cases. Mean COHb level detected in cases was 54.9±17.6%.
Conclusion: Carbon monoxide poisoning is an important social problem in our country as in many developing countries. It is concluded that with their medicolegal experiences and suggestions, forensic medicine specialists can play an important role to manage carbon monoxide poisonings which are mainly...
Downloads
References
Prakash A, Agarwal SK, Prakash N. Carbon monoxide poisoning. Apollo Med. 2010;7:32–34. https://doi.org/10.1016/S0976-0016(12)60004-0 DOI: https://doi.org/10.1016/S0976-0016(12)60004-0
Iheagwara KN, Thom SR, Deutschman CS, Levy RJ. Myocardial cytochrome oxidase activity is decreased following carbon monoxide exposure. Biochim Biophys Acta 2007;1772(9):1112–6. https://doi.org/10.1016/j.bbadis.2007.06.002 DOI: https://doi.org/10.1016/j.bbadis.2007.06.002
Gorman D, Drewry A, Huang YL, Sames C. The clinical toxicology of carbon monoxide. Toxicology 2003;187:25–38. https://doi.org/10.1016/S0300-483X(03)00005-2 DOI: https://doi.org/10.1016/S0300-483X(03)00005-2
Kao LW, Nanagas KA. Carbon monoxide poisoning. Med Clin North Am. 2005;89(6):1161- 94. https://doi.org/10.1016/j.mcna.2005.06.007 DOI: https://doi.org/10.1016/j.mcna.2005.06.007
Ait El Cadi M, Khabbal Y, Idrissi L. Carbon monoxide poisoning in Morocco during 1999–2007. J Forensic Leg. Med. 2009;16:385–7. https://doi.org/10.1016/j.jflm.2009.01.017 DOI: https://doi.org/10.1016/j.jflm.2009.01.017
Metin S, Yıldız Ş, Çakmak T, Demirbaş Ş. Frequency of carbon monoxide poisoning in Turkey in 2010. TAF Prev Med Bull. 2011; 10(5):587-92. https://doi.org/10.5455/pmb.20110417125648 DOI: https://doi.org/10.5455/pmb.20110417125648
Raub JA, NolfMM, Hampson NB, Thom SR. Carbon monoxide poisoning a public health perspective. Toxicology 2000;145:1–14. https://doi.org/10.1016/S0300-483X(99)00217-6 DOI: https://doi.org/10.1016/S0300-483X(99)00217-6
Eren F, Gürses MS, Ural MN, İnanır NT, Eren B, VojtisekT. Carbonmonoxide poisoning cases autopsied in South Marmara Region, The Bulletin of Legal Medicine 2014;19(2):96-99. https://doi.org/10.17986/blm.2014192755 DOI: https://doi.org/10.17986/blm.2014192755
Berber G, Üzün İ, Ak N. Evaluation of carbon monoxide poisoning from the Morgue Department of Council of Forensic Medicine between the years 1995–1998. Forensic Medicine Annual Meeting Book, 16–19 May 2002, Antalya, Turkey
Cantürk N, Basbulut AZ, Cantürk G, Dagalp R. Evaluation of the autopsy cases carbon monoxide poisonings in Ankara between 2002-2006. J Forensic Med. 2008;22:25-30.
Dirlik M, Bostancıoğlu B. Deaths due to carbon monoxide poisoning in Aydın, western Turkey. Death Studies 2017;41(4):246-50. https://doi.org/10.1080/07481187.2016.1259693 DOI: https://doi.org/10.1080/07481187.2016.1259693
Battal D, Aktas A, Sungur MA, Bilgin NG, Cekin N. Evaluation of poisoning deaths in the Cukurova Region, Turkey, 2007-2011.Toxicol Ind Health. 2016;32(3):476–84. https://doi.org/10.1177/0748233713503376 DOI: https://doi.org/10.1177/0748233713503376
Nazari J, Dianat I, Stedmon A. Unintentional carbon monoxide poisoning in Northwest Iran: A 5-year study.J Forensic Leg. Med. 2010;17:388-39. https://doi.org/10.1016/j.jflm.2010.08.003 DOI: https://doi.org/10.1016/j.jflm.2010.08.003
Liu Q, Zhou L, Zheng N, Zhuo L, Liu Y, Liu L.Poisoning deaths in China: Type and prevalence detected at the Tongji Forensic Medical Center in Hubei. Forensic Sci Int. 2009;193:88–94. https://doi.org/10.1016/j.forsciint.2009.09.013 DOI: https://doi.org/10.1016/j.forsciint.2009.09.013
Buyuk Y, Kocak U. Fire-related fatalities in Istanbul, Turkey: analysis of 320 forensic autopsy cases. J Forensic Leg Med 2009;16:449-54. https://doi.org/10.1016/j.jflm.2009.05.005 DOI: https://doi.org/10.1016/j.jflm.2009.05.005
Ruas F, Mendonça MC, Real FC, Vieira DN, Teixeira HM.Carbon monoxide poisoning as a cause of death and differential diagnosis in the forensic practice: A retrospective study, 2000-2010. J Forensic Leg. Med, 2014;24:1-6. https://doi.org/10.1016/j.jflm.2014.02.002 DOI: https://doi.org/10.1016/j.jflm.2014.02.002
Azmak D. Asphyxial deaths: A retrospective study and review of the literature. Am J Forensic Med Pathol 2006; 2: 134–144. https://doi.org/10.1097/01.paf.0000221082.72186.2e DOI: https://doi.org/10.1097/01.paf.0000221082.72186.2e
Erturk S, Hancı IH, Koçak A, Aktas EO. Deaths due to poisoning among forensic autopsies in Izmir between 1990-1994. Ege J Med. 2001;40:117-9.
Türkmen N, Akgöz S. Deaths due to carbon monoxide poisonings autopsied in Bursa. J Forensic Med, 2005;19(2):20–25.
Przepyszny L, Jenkins A. The prevalence of drugs in carbon monoxide-related deaths: a retrospective study, 2000-2003. Am J Forensic Med Pathol 2007;28:242-8. https://doi.org/10.1097/01.paf.0000257417.26383.e4 DOI: https://doi.org/10.1097/01.paf.0000257417.26383.e4
Liu KY, Beautrais A, Caine E, Chan K, Chao A,Conwell Y, LawC, Lee D, Li P,Yip P. Charcoal burning suicidesin Hong Kong and urban Taiwan: An illustration of theimpact of a novel suicide method on overall regional rates.J Epidemiol Community Health. 2007;61(3):248–53. https://doi.org/10.1136/jech.2006.048553 DOI: https://doi.org/10.1136/jech.2006.048553
Shie HG, Li CY. Population-based case-control study of risk factors for unintentional mortality from carbon monoxide poisoning in Taiwan. Inhal Toxicol. 2007;19(10),905–12. https://doi.org/10.1080/08958370701432173 DOI: https://doi.org/10.1080/08958370701432173
Choi YR, Cha ES, Chang SS, Khang YH, Lee WJ. Suicide from carbon monoxide poisoning in South Korea: 2006–2012. J Affect Disord. 2014;167:322–5. https://doi.org/10.1016/j.jad.2014.06.026 DOI: https://doi.org/10.1016/j.jad.2014.06.026
Lee AC, Ou Y, Lam SY, So KT, Kam CW. Non-accidental carbon monoxide poisoning from burning charcoal in attempted combined homicide-suicide.J Paediatr Child Health.2002;38(5):465–8. https://doi.org/10.1046/j.1440-1754.2002.00019.x DOI: https://doi.org/10.1046/j.1440-1754.2002.00019.x
Gören S, Tıraşçı Y, Üzün İ. The retrospective evaluation of deaths in bathroom. J Forensic Med. 2005;19(1):29–32. https://doi.org/10.1016/j.jflm.2012.04.031
Popovic V, Atanasijevic T, Nikolic S, Micic J. Concentration of carbon-monoxide in carbonized bodies forensic aspects. Leg Med 2009;11:318-20. https://doi.org/10.1016/j.legalmed.2009.01.045 DOI: https://doi.org/10.1016/j.legalmed.2009.01.045
Karapirli M, Kandemir E, AkyolS, Kantarci MN, Kaya M, Akyol O. Forensic and clinical carbon monoxide (CO) poisonings in Turkey: A detailed analysis. J Forensic Leg. Med. 2013;20:95-101. https://doi.org/10.1016/j.jflm.2012.04.031 DOI: https://doi.org/10.1016/j.jflm.2012.04.031
Risser D, Schneider B. Should coroners be able to recognize unintentional carbon monoxide-related deaths immediately at the death scene? J Forensic Sci 1995;40(4):596-8. https://doi.org/10.1520/JFS13832J. DOI: https://doi.org/10.1520/JFS13832J
Downloads
Published
Issue
Section
License
Copyright (c) 2018 Hüseyin Çetin Ketenci- Hülya Karadeniz- Halil Boz- Nazım Ercüment Beyhun

This work is licensed under a Creative Commons Attribution 4.0 International License.
The Journal and content of this website is licensed under the terms of the Creative Commons Attribution (CC BY) License. The Creative Commons Attribution License (CC BY) allows users to copy, distribute and transmit an article, adapt the article and make commercial use of the article. The CC BY license permits commercial and non-commercial re-use of an open access article, as long as the author is properly attributed.