Heat stroke in an incubator: an immunohistochemical study in a fatal case

Int J Legal Med. 2005 Mar;119(2):94-7. doi: 10.1007/s00414-004-0498-4. Epub 2004 Nov 25.

Abstract

The authors report the unique case of an 8-day-old infant succumbing to heat stroke caused by an abnormal increase of the environmental temperature in an incubator. At postmortem examination, second-degree burns were detected, and macroscopic and microscopic findings were typical for a heat-related death. An immunohistochemical study was performed. At the same time, a detailed examination of the incubator was conducted, revealing a malfunctioning of the temperature and relative humidity control system. We suggest that the diagnosis of heat stroke has to be confirmed on the basis of a detailed postmortem examination and a complete immunohistochemical investigation of heat shock proteins, molecules produced acutely in response to heat stress.

Publication types

  • Case Reports

MeSH terms

  • Antibodies, Monoclonal / immunology
  • Burns / etiology*
  • Burns / pathology*
  • Equipment Failure
  • Fatal Outcome
  • Forensic Pathology
  • Heat Stroke / etiology*
  • Heat Stroke / pathology*
  • Heat-Shock Proteins / immunology
  • Humans
  • Immunohistochemistry
  • Incubators, Infant / adverse effects*
  • Infant, Newborn
  • Lewis X Antigen / metabolism
  • Lung / pathology
  • Male
  • Neutrophils / metabolism
  • Trachea / pathology

Substances

  • Antibodies, Monoclonal
  • Heat-Shock Proteins
  • Lewis X Antigen