Abstract
Summary Some cases of fatal pathologies may be presented on non-specific clinical symptoms. Unusual exam-findings can lead to some pitfalls and death occurred unfortunately. In this context, we report autopsy cases of miliary tuberculosis and acute pancreatitis misdiagnosed and we discuss the doctor's responsability. Case 1 N.M. is a 24-year-old lady. She was admitted with fever of forty days’ duration associated with headache and anorexia. Examination and radiological investigations did not show any abnormalities. The patient was symptomatically medicated and allowed to return home. After one week, she was discovered dead in her bed. The diagnosis of miliary tuberculosis was confirmed by histological examination after the necropsy. Case 2 A 22-year-girl with history of mental retardation, consulted twice in the emergency room, for inhabitual agitation. She was treated each time symptomatically without any improvement. Death occurred after two days. The forensic autopsy with the histological tests confirmed the diagnosis of necrotic-hemorrhagic pancreatitis. Conclusion Our two cases report highlights the necessity to be aware about atypical presentation of tuberculosis and acute pancreatitis that can lead to sudden death.
Published Version
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