Elevated Body Core Temperature in Medico-Legal Investigation of Violent Death

Pathologically elevated body core temperature, measured at the death scene, is all important finding in medico-legal investigation of violent deaths, An abnormally high rectal temperature at my death scene may point to all underlying pathology, the influence of certain drugs or a hidden cerebral traumatism, and death by suffocation which would remain undetected without further medico-legal investigations. Furthermore, hyperthermia and fever, if unrecognized, may result in all erroneous forensic estimation of time since death in the early postmortem period by the Henssge method. By a retrospective study of 744 cases. the authors demonstrate that hyperthermia is a finding with all incidence of 10% of all cases of violent death. The main causes are: influence of drugs, malignant tumors, cerebral hypoxia as a result of suffocation. infections, and systemic inflammatory disorders. As a consequence it must be stated that hyperthermia must be excluded in every medico-legal death scene investigation by a correct measurement of body core temperature and a comparison between the cooling rate of the body and the behavior of early postmortem changes, notably liver and rigor mortis.