Autopsy report

FINAL REPORT OF AUTOPSY

A-(019276)
UNIVERSITY OF CALIFORNIA
CENTER FOR THE HEALTH SCIENCES
DEPARTMENT OF PATHOLOGY LOS ANGELES, CALIFORNIA

(Henry, Caitlin) ADMITTED: 03/02/07: 1400 HRS
Hospital ID Number: 06875U DIED: 04/02/07: 0300 HRS
Female: Caucasian: 16 yrs AUTOPSY: 04/02/07: 0500 HRS
RESIDENT: Jake McCallum, M.D.
ATTENDING: Jessica Wraith, M.D.

CASE SUMMARY: The patient was a 16-year-old Caucasian female with no previous significant medical history. The patient reported interrupted breathing, paralysis of extremities and an irregular heart beat. She was admitted to hospital three hours prior to developing these symptoms as she had been attacked by an unidentified male and had received bites to her neck and shoulder.

Four hours after admittance her neural activity fell to unconscious levels and remained that way. Ante mortem abdominal distention was noted with respiratory decompensation, and hypotension as the patient began having seizures while in a comatose state. Five hours Ante mortem an exploratory laparotomy revealed advanced stages of decomposition of the bodies internal organs and tissues. After four hours she became unresponsive and was subsequently subjected to 45 minutes of resuscitative procedures but was unable to be resuscitated even after open heart massage Her condition failed to improve and she was pronounced dead at 0300 hours on February 4, 2007.

The autopsy revealed Artesia of the common hepatic duct approximately 1.0 cm from the portohepatis, severe cholestasis and hemorrhagic infarction of both the liver and heart. The cause of death is Heart failure, complicated by disseminated intravascular coagulation and subsequent multiorgan hemorrhage.

Neuro pathological findings are complex as the unprecedented level of decomposition and apparent age of the internal organs interfered with the final cause of death. In contrast, the cerebellar internal granular layer reveals severe apoptotic neuronal change.

Amendments: During the post mortem autopsy the patient regained consciouness and was noted as having a heart beat but no rhythmic breathing. The patient proceeded to bite the attending M.D and two nurses. After this the attending M.D, Jessica Wraith, showed similar symptoms and quickly fell into a comatose state. It is therefore the recommendation of the hospital administrator that the nurses be placed into the care of the California State Police Department.






_________________________ _________________________
Jake McCallum, M.D. Jessica Wraith, M.D.


05/02/2007