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MICROBIAL ETHANOL PRODUCTION IN POST-MORTEM URINE SAMPLE (CROSBI ID 599172)

Prilog sa skupa u časopisu | sažetak izlaganja sa skupa | međunarodna recenzija

NESTIĆ, Marina ; KOVAČIĆ, Zdravko ; GUSIĆ, Stjepan ; MLINAREK, Tajana ; SARDELIĆ, Sanda ; SALAMUNIĆ, Ilza ; SUTLOVIĆ, Davorka MICROBIAL ETHANOL PRODUCTION IN POST-MORTEM URINE SAMPLE // Arhiv za higijenu rada i toksikologiju / Želježić, Davor (ur.). 2012. str. 48-48

Podaci o odgovornosti

NESTIĆ, Marina ; KOVAČIĆ, Zdravko ; GUSIĆ, Stjepan ; MLINAREK, Tajana ; SARDELIĆ, Sanda ; SALAMUNIĆ, Ilza ; SUTLOVIĆ, Davorka

engleski

MICROBIAL ETHANOL PRODUCTION IN POST-MORTEM URINE SAMPLE

We present a case in which post-mortem blood ethanol concentration was 0.02 g kg-1 and acetone concentration was 0.51 g kg-1 while urine ethanol concentration was 6.0 g kg-1 and acetone concentration was 0.63 g kg-1. The presence of acetone in blood and urine indicated the presence of ketoacidosis, which can lead to ketotic diabetic coma. The concentrations acetone may reach in diabetics are almost independent from the post-mortem interval. Sodium fl uoride was not added to the urine sample in which we continued to observe a remarkable increase in isopropyl alcohol concentration. The result was not logical and suggested that the alcohol concentration in urine was not due to consumption of alcoholic beverages. External contamination was excluded. Glucose levels were determined a few days after blood and urine samples were collected. Species of bacteria and yeasts, including Candida albicans, were isolated from both samples. A few days after the autopsy, we received the information that the patient suffered from Diabetes Mellitus and did not receive insulin therapy regularly. To prevent post-mortem ethanol production and thus making wrong assumptions of the cause of death, it is necessary to add sodium fl uoride in blood and urine samples from patients with diabetes.

ethanol and acetone concentrations in blood and urine; ketoacidosis; prevention of post-mortem ethanol production; sodium fl uoride

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Podaci o prilogu

48-48.

2012.

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objavljeno

Podaci o matičnoj publikaciji

Arhiv za higijenu rada i toksikologiju

Želježić, Davor

0004-1254

Podaci o skupu

Croatian Congress of Toxicology (CROTOX) 2012

poster

02.10.2012-05.10.2012

Primošten, Hrvatska

Povezanost rada

Temeljne medicinske znanosti, Kliničke medicinske znanosti, Farmacija

Indeksiranost