Sudden Death in African Adult Males


Sudden Death in African Adult Males: Case Reports and Review of Literatures


Ayodele J Omotoso1, Lawson Ekpe2, Akintunde Akintomide 3, Patience Odusolu4, Martin A Nnoli1

1,Department of Pathology, University of Calabar, Calabar
2Department of Chemical Pathology, University of Calabar, Calabar
3Department of Radiology, University of Calabar, Calabar
4Department of Obstetrics and Gynaecology, University of Calabar, Calabar


International-Journal-of-Case-Reports-2d code

Sudden death is common in Africans especially in males in their middle ages. With increasing evidence in reduction of life expectancy among the populace due to several confounding factors there is need to review some of the causes of sudden unexpected death. The study came from the observation of the authors on autopsy requests and reports in Calabar. Two middle aged security officers attached to different private homes were found dead on their duty posts on different days. Autopsy reports on them were similar revealing enlarged heart with evidence of myocardial infarction. Other findings include fatty change, pulmonary oedema and contracted kidneys. Hypertensive heart disease is a common disease condition with resultant high morbidity and mortality if not diagnosed early and well managed.


Keywords:  sudden unexpected death, autopsy, heart, cardiomyopathy, hypertension

Free Full-text PDF


How to cite this article:

Ayodele J Omotoso, Lawson Ekpe, Akintunde Akintomide, Patience Odusolu, Martin A Nnoli. Sudden Death in African Adult Males: Case Reports and Review of Literatures. International Journal of Case Reports, 2017 1:4. DOI: 10.28933/ijcr-2017-03-1302


References:

1. Bhulhar DS, Gorea RK, Aggarwal AD. Medicolegal autopsy panel of doctors. Present scenario. JIAFM 2004; 26: 971-3
2. Coroners Act of 1945, Laws of the federation of Nigeria and Lagos, Cap 41
3. Coroner Act of 1958, laws of the Federation of Nigeria and Lagos, Cap 41
4. Rotimi O, Fatusi AO, Odesanmi WO Sudden cardiac death in Nigerians–the Ile-Ife experience West Afr J Med. 2004 Jan-Mar;23(1):27-31.
5. Oberaifor AW, Nwaifor CC. Coroner autopsies originating from complaits to the police in a Nigerian Urban centre. Kasr Ainy Med J 2015; 21: 11-5
6. Mandong BM, Manasseh AN, Ugwu BT Medicolegal autopsies in North Central Nigeria. East Afr Med J. 2006 Nov;83(11):626-30.
7. Akhiwu WO, Igbe AP Deaths with medicolegal implications in the elderly: experience from Benin City, Nigeria. Asian J Gerontol Geriatr 2011; 6: 35-7
8. Rotimi O1, Ajayi AA, Odesanmi WO Sudden unexpected death from cardiac causes in Nigerians: a review of 50 autopsied cases. Int J Cardiol. 1998 Jan 31;63(2):111-5.
9. Lecomte D, Fomes P, Nicolas G. stressful events as a trigger of sudden death; a study of 43 medicolegal autopsy cases. Forensic sci Int 1996 May 17, 79 (11): 1-10
10. Tester DJ, Ackerman MJ. The role of molecular autopsy in unexplained sudden cardiac death. Curr open cardiolo 2006 May; 21 (3):166-72
11. Patience Olayinka Akinwusi, Akinwumi Oluwole Komolafe, Olanrewaju Olayinka Olayemi, Adeleye Abiodun Adeomi. Communicable disease-related sudden death in the 21st century in Nigeria. Infect Drug Resist. 2013; 6: 125–132