Acquired immunedeficiency syndrome in forensic autopsies
Resumo
No Instituto Médico Legal de São Paulo, de maio de 1985 a maio de 1989, foram realizadas 126 necrópsias de indivíduos portadores de AIDS cujo óbito foi motivo de investigações policiais. 119 eram do sexo masculino e 17 do sexo feminino e o pico de incidência etária foi dos 20 aos 30 anos. Foram observadas 54 mortes em estabelecimentos penais, 29 suicídios, 17 homicídios dolosos, 17 mortes suspeitas, 5 homicídios culposos e 4 corpos em putrefação. Os presidiários, à exceçáo de um que foi estrangulado, faleceram do curso natural da doença. Chamou atenção nas perícias a alta incidência de micobacteriose extra pulmonar. Os suicídios se procederam das mais diferentes formas e as vítimas, em sua maioria, apresentavam o quadro inicial da doença. As mortes suspeitas e os corpos encontrados em deterioração resultaram do abandono dos pacientes pelos familiares. Nos homicídios, a morte quase sempre ocorreu tardiamente nos hospitais e a doença contribuiu certamente para o agravamento das lesões. Os autores chamam atenção sobre os problemas jurídicos e sociais que envolvem as vítimas da AIDS e realçam esses últimos como um obstáculo a um controle efetivo da epidemia.
Downloads
Referências
BARRE-SINOUSSI, F.; CHERMANN. J.C.; REY, F.; NUGEYRE, M.T.; CHAMARET, S.; GRUEST, J.; DAUGUET,C.; AXLER-BLIN, C.; VENIZET-BRUN, F.; ROUZIOUX, C.; ROZEMBAUM, W.& MONTAGNIER, L.-Isolation of a T-lynphotropic retrovirus from a patient at risk for Acquired Immune Deficiency Syndrome (AIDS). Science, 220: 868-871, 1983.
BENNET, F.J. - Aids as a social phenomenon. Soc Sci Med, 25(6): 529-539, 1987.
BIRCHFIELD, J.L. - AIDS. The legal aspects of the disease. Med Law, 6(5): 407-426, 1987.
BRAZINSKY, J.H. & KELLEM-BENGER, R.E. - Comparation of immunoglobulin analyses of ante mortem and port-mortem sera. Am J Clin Pathol, 54: 622-624, 1970.
CENTER FOR DISEASE CONTROL - Classification system for human T-lymphotropic virus type. III - Lymphadenopathy associated virus infection. M M W R, 35: 334-339, 1986.
CENTER FOR DISEASE CONTROL - Recomendation for prevention of HIV Transmission in health-care-settings. M M W R, 36 , 1987.
CENTER FOR DISEASE CONTROL - Revision of the CDC surveillance case definition for Acquired Immunodeficiency Syndrome. M M W R, 46(15): 3-9, 1987.
CENTER FOR DISEASE CONTROL - AIDS and HIV Up-date: Acquired Imunodeficiency Syndrome and HIV infection among Health-Care. Workers, M M W R, 38(S.6): 1-37, 1989.
CENTER FOR DISEASE CONTROL - Guidelines for prevention of transmission of HIV virus and Hepatits B virus to heathcare and public: safety workers. M M W R, 38(S.6): 1-37, 1989.
CURRAN, J.W.; DAFFE, H.W.& HARDY, H.M. - Epidemiology of HIV infecction and AIDS in USA. Science, 239: 610-616, 1988.
Definition of the Case of AIDS in Adults with the purpose of Epidemiological Vigilance. Epidemiol AIDS 2 (epidemiological week) 5/8), 1989.
DILLEY, J.W. - Findings in psychiatric consultation with patients with AIDS. Am J Psychiatry, 142(1): 82-86, 1986.
DUESBERG, P.H. - HIV and AIDS. Correlation but not causation. Proc Nat Acad Sci, 86: 755-764, 1989.
GODWIN, T.A.& FELIX, J.C. - The histopathology of the liver in AIDS < autopsy study of 105 cases. Lab Invest, 56: 26-A, 1987.
HEALTH WORLD ORGANIZATION - Declaration about the social aspects of AIDS control. Genebra, december 1 rst. 1987.
KRINGSHOLM, B.; THEILASE, P. & GERRTINGER, P. - The ocurrence of HIV antibodies in drug addits autopsied at the University Institute of Forensic Medicine in Copenhagen in 1987. Forens Sci Intern, 41: 281-284, 1989.
KUHLS. T.L.; VIKER, S.; PARRIS, N.B.; GARAKIAN, A.; SULLIVAN-BOLYAL, J. & CHERRY, J. - Occupational risk of HIV, HBV and HSV - 2 infection in Healthcare personnel caring in AIDS Patients. Am J Public Health, 77: 1306-1309, 1987.
MACCARIO, M. & SCHARRE, D.W. - HIV and acute onset of psychosis. Lancet, 2: 395-396, 1985.
MARZUR, P.M.; TIERNEU, H.; TARDIFF, K.; GROSS, E.M.; MORGAN, E.B.; HSU, M.A. & MANN, J.J. - Increased risk of suicide in persons with AIDS. JAMA, 259: 1333-1337, 1988.
McCORMICK, G.M. - Nonanatomic post-mortem techniques: post mortem' serology. J Forensic Sci, 17: 57-62, 1972.
MIURA, S.R.; GUIDUGLI,R.B .; BAROLLO, C.R.; GUERRA, M.A.T.; LOURENÃO, R.; JOHNSON JR, W.D. & AYROSAGALV
NELKIN, D. - AIDS and the social sciences: rewiew of useful knowledge and research needs. Rev Infect Dis, 9(5): 980-986. 1987.
NUSBAUM, N.J. - AIDS as a paradigm for medico legal education. N Y State J Med, 88: 221, 1988.
ORGANIZACION PAN-AMERICANA DE LA SALUD -SIDA perfil de una epidemia - Washington, OPS,1989, 383 (Publicacion Científica 514).
PENNING, R.; TUTSCH-BAVEN, E.& BEER, G. - HIV infektion bei gerichtlichen leichenoffugen. Beitr Gerichtl Med, 47: 23-29, 1989.
PERRY, S. & JACOBSEN, P. - Neuropsychiatric manifestation of AIDS. Spectrum desorders. Hosp Community Psichiatry, 37: 135-142, 1986.
POPOVIC, M.; SARNAGHADARAN, M.G.; READ, E. & GALLO, R.C. - Detection, isolation, and continous production of cytopatic zetrovizues (HTLV-III) from patients with AIDS and pre-AIDS. Science, 224: 497-500, 1984.
PRICE, R.W. - The brain in AIDS central nervous system HIV - Infection and AIDS dementia complex. Science, 239: 586-592, 1988.
PUSCHEL, K.; LIESKE, K.; HASHIMOTO, Y.; KARCH, H.; LAUFS, R.; RACZ, P. & JANSSEN, W. - HIV - Infection in forensic autopsy cases. Forensic Sci Intern, 34: 169-174, 1987.
REICHERT, CM.; O'LEARY, T.J.; LEVENS, D.L.; SIMRELL, C.R. & MACHER, A.M. - Autopsy pathology in AIDS. Am J Pathol, 112: 357-382, 1983.
SALIVE, M. & BREWER, T.F. - Tuberculosis and human immunodeficiency virus infections. An emerging in inmates. J Prison Jail Health, 7: 80-89, 1988.
SÃO PAULO - Health States's Department - AIDS in São Paulo States - Bull Epidemiol, (may), 1989. SÃO PAULO - Public self Security Department. Morgue. Bull statistic, 1985-1988.
SUNDERAN, G.; McDONALD, R.J.; MANIATIS, R.; KAPILA, R. & REICHMAN, L.B. - Tuberculosis as a manifestation of AIDS - JAMA, 256: 362-366, 1986.
WAISMAN, J. - AIDS an overview of the pathology. Pathol Res Pract, 182(6): 729-754, 1987.
WILKES, M.S.; FORTIN, A.H.; FELIX, J.C.; GODWIN, T.A. & THOMPSON, W.G. - Value of necropsy in AIDS. Lancet, 8602: 85-87, 1988.
ZUGER, A. & STEVEN, H.M. - Physicians, AIDS and occupational risk. Historic traditions and ethical obligations. JAMA, 258:1924-1928, 1987.
Downloads
Publicado
Como Citar
Edição
Seção
Licença
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
