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HomeMy WebLinkAboutEppard_Son Autopsy Decedent: Matthew J. Eller Case: W21-1383 Sex: Race: Male White Age: 22 years Date of Birth: 03/08/1999 Date Pronounced Dead: Time Pronounced Dead: 11/10/2021 2000 hours Date of Exam: 11/11/2021 Time of Exam: 0730 hours County: Muskegon Pathologist: Joseph Prahlow, M.D. Autopsy Procedure: Complete Identification: Persons in Attendance: Identification Tags Jenna Jones, Assistant Matt Bombich, Photographer Ben Root, Medical Student Josh McGarry, Medical Student Sung Jik Cha, Medical Student Postmortem Examination Report Cause of Death: TOXIC EFFECTS OF MITRAGYNINE Manner of Death: ACCIDENT Western Michigan University Homer Stryker M.D. School of Medicine Department of Pathology 300 Portage Street • Kalamazoo, MI • 49007 269.337.6173 med.wmich.edu CIRCUMSTANCES: History that the decedent stood up after playing a game of cards and then collapsed and demonstrated seizure-like activity. All resuscitative efforts failed. He had a history of kratom use. RECEIPT OF REMAINS: The body is received in the facility on 11/11/2021 at 0710 hours. The body is received in a secured body bag with an identification tag bearing the decedent’s name and a sealing device marked with the number “2335758.” EXTERNAL EXAMINATION: The body is identified by tags on the body bag and the right ankle. Photographs and x-rays are taken. The body is received wearing a pair of athletic shorts, a pair of boxer briefs, and a pair of socks. There is no jewelry. The body is that of a well-developed, well-nourished, white male, whose appearance is compatible with the stated age of 22-years. His body is 73-inches long and weighs 138-pounds. The body is cold, rigor is fully developed, and the posterior lividity is partially fixed. The scalp hair is up to approximately 5-inches in length, brown, and wavy. There is emesis within the hair. The irides are hazel, and there are no petechiae of the bulbar or palpebral surfaces of the conjunctivae. There is no beard or moustache. The ears, nose, and lips are unremarkable except that the earlobes are pierced. The teeth are natural and in good condition. The neck is unremarkable. The chest is symmetrical. The abdomen is flat and unremarkable. The external genitalia, anus, and perineum are unremarkable. The penis is circumcised, and the testicles are descended into the scrotum. The extremities are well developed, symmetrical, and unremarkable. The back is unremarkable. The skin is unremarkable. IDENTIFYING MARKS AND SCARS: There is a tattoo of the name “Hannah” on the right triceps region. EVIDENCE OF THERAPY:  Oral laryngeal mask airway  Multiple EKG pads  Defibrillator pads  Intravenous line, left antecubital fossa  Bandage, left third finger EVIDENCE OF INJURY: There is a less than 1/8-inch superficial incised wound of the tip of the left third finger. There is a 3/16-inch in greatest dimension linear abrasion of the proximal knuckle of the left second finger. There is an approximately ¼-inch in greatest dimension vertical linear laceration of the lower lip. There is a less than 1/8-inch crusted excoriation of the right shin. There is a less than 1-inch in greatest dimension subtle, left frontal subscalpular hemorrhage, but no other head trauma. INTERNAL EXAMINATION: BODY ORGAN WEIGHTS: Brain 1480 grams Heart 340 grams Right Lung 600 grams Left Lung 500 grams Liver 1840 grams Spleen 230 grams Right Kidney 150 grams Left Kidney 170 grams BODY CAVITIES: The thoracic and abdominal organs are in their normal anatomic positions. The body cavities contain no adhesions or abnormal collections of fluid. HEAD AND CENTRAL NERVOUS SYSTEM: The scalp, subscalpular area, and skull are unremarkable except for the subtle left frontal subscalpular hemorrhage. The dura and dural sinuses are unremarkable. There are no epidural, subdural, or subarachnoid hemorrhages. The leptomeninges are thin and delicate. The cerebral hemispheres are symmetrical with an unremarkable gyral pattern; however, there is diffuse swelling. The cranial nerves and blood vessels are unremarkable. The brain is retained for Lieber neuropathological examination. The spinal cord is not examined. The pituitary gland is unremarkable. LIEBER EXAM (from report): The dura mater included with the specimen includes a portion of right and left calvarial dura with the superior sagittal sinus, and the falx cerebri, and dura including and adjacent to the torcula. The dura and dural sinuses are unremarkable, with no sinus thromboses, neomembranes, or mass lesions. The cerebral and cerebellar hemispheres are symmetrical with no evidence of softening or atrophy. The cortical sulci are somewhat effaced from cerebral swelling. The leptomeninges are smooth and transparent. There is no evidence of transtentorial, subfalcine, central diencephalic, or external herniation. The cerebellar tonsils are prominent, consistent with diffuse brain swelling. The blood vessels of the Circle of Willis show no atherosclerosis with no aneurysms, vascular anomalies, or malformations. The cranial nerves are present and unremarkable. Serial coronal sections of the cerebral hemispheres demonstrate well demarcated gray and white matter structures. The cortical ribbon is of normal thickness and the centrum semiovale is intact throughout, with no focal lesions. The medial temporal lobe structures including the hippocampus are bilaterally symmetric and effaced somewhat from brain swelling. There is no significant atrophy or evidence of mesial temporal sclerosis. The deep gray matter structures are anatomically intact without focal lesions. The ventricles are symmetrical with no evidence of hydrocephalus. Serial axial sections of the brainstem reveal pigmentation of the substantia nigra and locus ceruleus appropriate for age, unremarkable brainstem nuclei and white matter tracts, and no focal lesions. Midsagittal section of the cerebellar vermis and serial parasagittal sections of the cerebellar hemispheres are unremarkable. The dentate nucleus of the cerebellum is present and unremarkable NECK: The soft tissues and prevertebral fascia of the neck are unremarkable. The hyoid bone and larynx are intact. The tongue is unremarkable. CARDIOVASCULAR SYSTEM: The intimal surface of the aorta is free of atherosclerosis. The aorta, its major branches, and the great veins are normally distributed. The pericardium, epicardium, and endocardium are smooth, glistening, and unremarkable. There are no thrombi in the atria or ventricles. The foramen ovale is closed. The coronary arterial system is right predominant and is free of atherosclerosis; however, the proximal left anterior descending coronary artery demonstrates “tunneling”. The atrial and ventricular septa are intact. The cardiac valves are unremarkable. There is slight biventricular dilatation (right greater than left). The myocardium is dark red-brown and firm, with no focal abnormalities. RESPIRATORY SYSTEM: The upper airway is unobstructed, but does contain small amounts of gastric contents. The laryngeal mucosa is smooth and unremarkable, without petechiae. The pleural surfaces are smooth and shiny. The pulmonary arteries contain no emboli. The major bronchi are unremarkable except for the presence of some gastric contents. Sectioning of the lungs discloses a dark red-blue, mottled, somewhat congested parenchyma. HEPATOBILIARY SYSTEM: The liver is covered by a smooth, glistening capsule. The parenchyma is dark red-brown and moderately congested. The gallbladder contains no calculi. The extrahepatic biliary ducts are unremarkable. DIGESTIVE SYSTEM: The esophageal mucosa is gray, smooth, and unremarkable. The stomach contains 250 mL of tan semi-fluid substance. The gastric mucosa has normal rugal folds and there are no ulcers. The small and large intestines are unremarkable. The appendix is present. The pancreas is unremarkable externally and on sectioning. GENITOURINARY SYSTEM: The subcapsular surfaces of the kidneys are smooth and slightly lobulated. The cortices are of normal thickness. The calyces, pelves, and ureters are unremarkable. The urinary bladder contains 75 mL of clear, yellow urine. The mucosa is gray, smooth, and unremarkable. The prostate gland is unremarkable. The testicles are unremarkable. ENDOCRINE SYSTEM: The thyroid and adrenal glands are unremarkable externally and on sectioning. RETICULOENDOTHELIAL SYSTEM: The spleen is covered by a smooth, blue-gray, intact capsule. The parenchyma is dark red. The lymph nodes are unremarkable. The thymus is unremarkable. MUSCULOSKELETAL SYSTEM: The clavicles, ribs, sternum, pelvis, and vertebral column have no fractures. The diaphragm is intact. MICROSCOPIC EXAMINATION: LUNGS – Hyperexpanded alveolar spaces; bronchial mucosal hemorrhage; focal chronic bronchial inflammation. THYROID – Variably-sized follicles; dark colloid. ADRENAL, LIVER, THYMUS, HEART, KIDNEY, PANCREAS – Unremarkable. BRAIN (per Lieber report) – Unremarkable adult brain. SLIDE KEY: A: Adrenal, liver, thymus B: Lungs C: Heart, kidney D: Pancreas, thyroid (BRAIN slides as per Lieber report) VITREOUS ELECTROLYTES: Sodium 118 mEq/L Potassium 7.5 mEq/L Chloride 124 mEq/L Urea nitrogen 17 mg/dL Creatinine 1.05 mg/dL Glucose <35 mg/dL TOXICOLOGY: FEMORAL BLOOD - Mitragynine - 2100 ng/mL Caffeine - 0.85 mcg/mL Cotinine - Positive FINAL FINDINGS: I. Toxic effects of mitragynine II. Not found: Anatomic explanation for death CONCLUSION: Based upon the autopsy findings and the history as available to me, it is my opinion that Matthew Eller, a 22-year-old white male, died as a result of the toxic effects of mitragynine. __________________________________ Joseph A. Prahlow, M.D. January 4, 2022