Journal of Forensic and Legal Medicine 22 (2014) 79
Contents lists available at ScienceDirect
Journal of Forensic and Legal Medicine j o u r n a l h o m e p a g e : w w w . e l s e v i e r . c o m / l o c a t e / j fl m
Letter to the Editor
A multidisciplinary approach to fatal dog attacks Haj Salem and colleagues recently reported an interesting case of fatal dog attack with injuries to the cervical vertebrae and vertebral artery.1 Although they discussed a “multidisciplinary approach to fatal dog attacks” the focus was unfortunately limited to pathological, odontological and DNA studies. A detailed history of the dog’s prior behaviour and the dog and victim’s interactions would have been important to obtain and, as has been previously discussed in published protocols for fatal dog attacks,2,3 it is often very useful to include a veterinarian or a veterinary pathologist within the investigative team. Information on the breed and weight of the dog may be signiﬁcant, and examination should be extended beyond the dog’s mouth; for example, while not necessarily applicable to the reported case, a careful external examination may reveal signs of maltreatment or involvement in organized dog ﬁghting. A necropsy may also provide useful information on the stomach contents and on possible underlying diseases that may initiate belligerent behaviour.2 Toxicological assessment of the dog may also be useful in identifying any drugs or stimulants that may have been used to precipitate aggression.2 Focusing of the attack on the victim’s face, neck and head is characteristic, but may also occur with post-mortem predation,4 so the demonstration of a vital reaction in the tissues was useful. However, although it is possible that the absence of defence injuries suggests that the fatal episode occurred proximate to an epileptic seizure, injuries elsewhere are not always present in victims because of the craniocentric focus of many of these attacks.2
Funding None. Conﬂict of interest None.
References 1. Haj Salem N, Belhadj M, Aissaoui A, Mesrati MA, Chadly A. Multidisciplinary approach to fatal dog attacks: a forensic case study. J Forensic Leg Med 2013;20:76306. 2. Tsokos M, Byard RW, Püschel K. Extensive and mutilating craniofacial trauma involving deﬂeshing and decapitation. Unusual features of fatal dog attack in the young. Am J Forensic Med Pathol 2007;28:131e6. 3. Byard RW. Sudden death in the young. 3rd ed. Cambridge, UK: Cambridge University Press; 2010. 4. Byard RW, James RA, Gilbert JD. Diagnostic problems associated with cadaveric trauma from animal activity. Am J Forensic Med Pathol 2002;23:238e44.
Roger W. Byard, MD, Forensic Pathologist* The University of Adelaide, Frome Rd, Adelaide, South Australia, Australia * Discipline
of Anatomy & Pathology, Level 3 Medical School North Building, The University of Adelaide, Frome Road, Adelaide 5005, Australia. Tel.: þ61 8 8313 5341; fax: þ61 8 8313 4408. E-mail address: [email protected]
Ethical approval Not applicable.
1752-928X/$ e see front matter Ó 2013 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved. http://dx.doi.org/10.1016/j.jﬂm.2013.12.017
Empoisonnement mortel à la diphenhydramine chez un chien. Nous signalons un empoisonnement mortel à la diphenhydramine chez un caniche croisé mâle âgé de 10 ans ayant des conditions préexistantes et une co-ingestion soupçonnée d’éthanol. Ce cas illus
Pemphigus vulgaris (PV) is a rare but potentially life-threatening autoimmune disease affecting the mucosa and the skin. The disease is caused by circulating antibodies to desmosomes (important adhesion proteins linking cells together). Disruption of
OBJECTIVE The authors' goals in this study were to describe a series of dog attacks on children that required neurosurgical consultation and to better understand the pattern of injuries inflicted, the circumstances that place children at risk for att
A previously splenectomized dog from Estonia was presented with a sudden lack of appetite and discoloration of the urine. Despite supportive therapy, its condition deteriorated dramatically during 1 day. Severe thrombocytopenia and high numbers of pr
The purpose of this article is to carry out a narrative review regarding the approach to scars through complementary and alternative medicine focusing on osteopathy, naturopathy, and other minor methods and traditional rehabilitative medicines, such
Nuclear Magnetic Resonance (NMR) is a non-contact, powerful structure-elucidation technique for biochemical analysis. NMR spectroscopy is used extensively in a variety of life science applications including drug discovery. However, existing NMR techn
Clinical features together with elevation of pancreatic enzymes are the key diagnostic indicators of acute pancreatitis. We report a case of a woman in her 50s who presented with abdominal distension and serum amylase raised to more than 30 times the