Nerozpoznaná preeklampsie, která se rozvinula do eklamptického záchvatu s fatálním koncem

Objective A fatal case of a 37 year old women in the fifth month of pregnancy, who showed no signs of life and who could not be revived is reported. Design Case report. Settings Forensic expert in healthcare, Liberec; Department of Health Care Disciplines and Population Protection, Faculty of Biomedical engineering, Czech Technical University in Prague; Department of Biology, Faculty of Education, J. Selye University, Komarno, Slovak republic; Laboratory of Veterinary Histopathology in Komarno, Slovak republic. Methods The forensic necropsy was done. Toxicological and histological investigation of sampled material were done. Results The autopsy revealed bleeding into the brain chambers. The toxicology results were negative. The histopathological examination showed glomerulonephritis, bloody lungs, and massive bleeding in all sampled organs. From this it was concluded that her dead was caused by unrecognized preeclampsia, which developed into eclamptic attack with fatal consequence. Conclusion To avoid these fatalities we recommend that the possibility of preeclampsia is investigated early in pregnancy especially in women with high blood pressure, for whom we also recommend more frequent controls in these early stages of pregnancy. We also recommend more intensive medical care for pregnant women with preeclamptic signs, including the possibility of a shorter schedule of management in specialist care in hospital, from the first symptoms onwards.