Title: An Autopsy Based Study of Burn Deaths with Histopathology of Kidneys in West Bengal

Authors: Alakesh Halder, Tumpa Mandal,Tapas Sinha, Ashok Kumar Samanta

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i2.135

Abstract

Every year a large number of deaths occur in India due to burn injuries. Burn deaths are a major public health problem in our country. Aim of this study is to find out the epidemiology of death due to burn injury associated with histopathological changes of kidneys in a medical college mortuary in eastern India. An autopsy-based cross-sectional study conducted from 1st April, 2013 to 31st March, 2014 in the department of Forensic and State Medicine, Nil Ratan Sircar Medical College, Kolkata. During this period total numberof2813 autopsies were carried out. Out of these 318 cases were associated with burn injury among which 100 burn injury cases were selected randomly and analyzed.  

The majority of deaths (34%) occurred between 21 yrs to 30 yrs age group with preponderance of female (89%), maximum number of patients (33%) died within 2-5 days of following burn injury. The majority of burn incidence (57%) were accidental in nature. Macroscopically kidneys look congested (77%) most of the cases. Histopathological sections of kidneys showed interstitial oedema (34%) followed by tubular degeneration (29%).

Keywords: Burns, Epidemiology, Neurogenic shock, Septicemia, Body surface area, Histopathology.

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