Pattern of poisoning in autopsy cases reported to civilhospital Ahmedabad- a retrospective study

AUTHORS : Nayak Manjit, Rathva Vanraj, Khubchandani HT
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Introduction: Poisoning is prevalent in all parts of Indiabut trend of poisoning varies from place to place. The wordpoison has evolved from the Latin word “potion” whichmeans to drink for health but by the time, the definitionhas been changed to its present form as any substancewhich when administered, inhaled or ingested is capable ofacting deleteriously on human body. Materials and methods:The retrospective study has been carried out in thedepartment of forensic medicine and toxicology, B. J.Medical College, Civil Hospital, Asarva, Ahemdabad duringthe period of 01 year from January 2017 to December2017 to find out the distribution according toalleged historyof poisoning as per inquest, condition ofgastric mucosa,smell from stomach contents, viscera preservation, analyticalresult and distribution of cases according to cause of death.Results: 48.67% autopsy cases of poison are unknown asper the inquest therefore proper antidote could not havebeen given. More cases are having congested (51.66%) &haemorrhagic (24.50%) mucosa. Chemical analysis forviscera preservation shows in 61 cases (40.39%) compoundwas detected and in 54 cases (35.76%) were undetectedand 9 cases (5.96%) where report is still awaited. aluminiumphosphide poison is most common (30 cases,19.87%) fromchemical analysis reports, very closely followed byorganophosphorus compounds poison (27 cases, 17.88%).Cardiorespiratory arrest is the most common cause of deathin the present study. Conclusion: In maximum cases poisonbeing unknown contributing to more fatality therefore bedside analytical test and toxicological analysis set up andstrict control over poison substance sale is highly required.

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