Korean J Leg Med.
2010 May;34(1):47-50.
Fatal Water Intoxication in a Schizophrenic Patient
- Affiliations
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- 1Department of Pathology, Korea University Medical College, Guro Hospital, Seoul, Korea.
- 2Division of Forensic Medicine, National Institute of Scientific Investigation, Seoul, Korea. sanchee@korea.kr
Abstract
- We report a case of fatal water intoxication in a schizophrenic patient. A 41-year-old schizophrenic male, who was admitted to a psychiatric hospital, was found dead in the restroom of the hospital. He had drunk many bowls of tap water before. On the postmortem examination, the brain was diffusely edematous, but no apparent herniation was noted. The lung was mildly expanded with edema. The stomach and intestine were diffusely expanded, and the intestine and mesentery were extensively edematous. Bilateral hydronephrosis was observed. A subcapsular hematoma with focal cortical rupture was observed in the right kidney. The vitreous sodium was 102 mEq/l and potassium was 10.5 mEq/l.
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