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다발성 자창이 있는 사후투수 시체에서 규조류 검사 위양성 사례

A False-positive Diatom Test in a Non-drowned Victim of Multiple Stab Wounds

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키워드

주제분류기타의약학

초록

For the diagnosis of drowning in immersed bodies, the diatom test has been controversial due to false-negative and false-positive results. Causes of false positive results include antemortem penetration of diatoms, and postmortem contamination during the submersion or the diatom preparation process. Herein, we report a false-positive case in a 30-year-old woman who died from homicidal multiple stab wounds and was thrown into a shallow farm waterway approximately 10 days after her death. In addition, a discussion on the falsepositive diatom test results in immersed bodies with penetrating wounds is provided.

Abstract

For the diagnosis of drowning in immersed bodies, the diatom test has been controversial due to false-negative and false-positive results. Causes of false positive results include antemortem penetration of diatoms, and postmortem contamination during the submersion or the diatom preparation process. Herein, we report a false-positive case in a 30-year-old woman who died from homicidal multiple stab wounds and was thrown into a shallow farm waterway approximately 10 days after her death. In addition, a discussion on the falsepositive diatom test results in immersed bodies with penetrating wounds is provided.

참고문헌 (4)

  1. 허기영, "익사에서 규조류 검사 방법과 신뢰도의 진전", 대한법의학회지, 44(3), pp.115~122 (2020), 대한법의학회[DOI]
  2. Lunetta P, "False-positive diatom test: a real challenge? A post-mortem study using standardized protocols", Leg Med(Tokyo), 15, pp.229~234 (2013)
  3. Saukko P, "Knight's forensic pathology", pp.410~412 (2014), CRC Press
  4. DiMaio VJ, "DiMaio’s forensic pathology", pp.379~380 (2022), CRC Press

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