a multidisciplinary approach to fatal dog attacks

1
Letter to the Editor A multidisciplinary approach to fatal dog attacks Haj Salem and colleagues recently reported an interesting case of fatal dog attack with injuries to the cervical vertebrae and verte- bral artery. 1 Although they discussed a multidisciplinary approach to fatal dog attacksthe focus was unfortunately limited to patho- logical, odontological and DNA studies. A detailed history of the dogs prior behaviour and the dog and victims interactions would have been important to obtain and, as has been previously dis- cussed in published protocols for fatal dog attacks, 2,3 it is often very useful to include a veterinarian or a veterinary pathologist within the investigative team. Information on the breed and weight of the dog may be signicant, and examination should be extended beyond the dogs mouth; for example, while not necessarily appli- cable to the reported case, a careful external examination may reveal signs of maltreatment or involvement in organized dog ghting. A necropsy may also provide useful information on the stomach contents and on possible underlying diseases that may initiate belligerent behaviour. 2 Toxicological assessment of the dog may also be useful in identifying any drugs or stimulants that may have been used to precipitate aggression. 2 Focusing of the attack on the victims face, neck and head is characteristic, but may also occur with post-mortem predation, 4 so the demonstration of a vital reaction in the tissues was useful. However, although it is possible that the absence of defence injuries suggests that the fatal episode occurred proximate to an epileptic seizure, injuries else- where are not always present in victims because of the craniocen- tric focus of many of these attacks. 2 Ethical approval Not applicable. Funding None. Conict of interest None. References 1. Haj Salem N, Belhadj M, Aissaoui A, Mesrati MA, Chadly A. Multidisciplinary approach to fatal dog attacks: a forensic case study. J Forensic Leg Med 2013;20:76306. 2. Tsokos M, Byard RW, Püschel K. Extensive and mutilating craniofacial trauma involving deeshing and decapitation. Unusual features of fatal dog attack in the young. Am J Forensic Med Pathol 2007;28:131e6. 3. Byard RW. Sudden death in the young. 3rd ed. Cambridge, UK: Cambridge Univer- sity Press; 2010. 4. Byard RW, James RA, Gilbert JD. Diagnostic problems associated with cadaveric trauma from animal activity. Am J Forensic Med Pathol 2002;23:238e44. Roger W. Byard, MD, Forensic Pathologist * The University of Adelaide, Frome Rd, Adelaide, South Australia, Australia * Discipline of Anatomy & Pathology, Level 3 Medical School North Building, The University of Adelaide, Frome Road, Adelaide 5005, Australia. Tel.: þ61 8 8313 5341; fax: þ61 8 8313 4408. E-mail address: [email protected]. 2 December 2013 Available online 18 December 2013 Contents lists available at ScienceDirect Journal of Forensic and Legal Medicine journal homepage: www.elsevier.com/locate/jflm Journal of Forensic and Legal Medicine 22 (2014) 79 1752-928X/$ e see front matter Ó 2013 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved. http://dx.doi.org/10.1016/j.jm.2013.12.017

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Page 1: A multidisciplinary approach to fatal dog attacks

lable at ScienceDirect

Journal of Forensic and Legal Medicine 22 (2014) 79

Contents lists avai

Journal of Forensic and Legal Medicine

journal homepage: www.elsevier .com/locate/ jflm

Letter to the Editor

A multidisciplinary approach to fatal dog attacks

Haj Salem and colleagues recently reported an interesting caseof fatal dog attack with injuries to the cervical vertebrae and verte-bral artery.1 Although they discussed a “multidisciplinary approachto fatal dog attacks” the focus was unfortunately limited to patho-logical, odontological and DNA studies. A detailed history of thedog’s prior behaviour and the dog and victim’s interactions wouldhave been important to obtain and, as has been previously dis-cussed in published protocols for fatal dog attacks,2,3 it is oftenvery useful to include a veterinarian or a veterinary pathologistwithin the investigative team. Information on the breed andweightof the dog may be significant, and examination should be extendedbeyond the dog’s mouth; for example, while not necessarily appli-cable to the reported case, a careful external examination mayreveal signs of maltreatment or involvement in organized dogfighting. A necropsy may also provide useful information on thestomach contents and on possible underlying diseases that mayinitiate belligerent behaviour.2 Toxicological assessment of thedog may also be useful in identifying any drugs or stimulants thatmay have been used to precipitate aggression.2 Focusing of theattack on the victim’s face, neck and head is characteristic, butmay also occur with post-mortem predation,4 so the demonstrationof a vital reaction in the tissues was useful. However, although it ispossible that the absence of defence injuries suggests that the fatalepisode occurred proximate to an epileptic seizure, injuries else-where are not always present in victims because of the craniocen-tric focus of many of these attacks.2

Ethical approvalNot applicable.

1752-928X/$ e see front matter � 2013 Elsevier Ltd and Faculty of Forensic and Legal Mhttp://dx.doi.org/10.1016/j.jflm.2013.12.017

Funding

None.

Conflict of interestNone.

References

1. Haj Salem N, Belhadj M, Aissaoui A, Mesrati MA, Chadly A. Multidisciplinaryapproach to fatal dog attacks: a forensic case study. J Forensic Leg Med2013;20:76306.

2. Tsokos M, Byard RW, Püschel K. Extensive and mutilating craniofacial traumainvolving defleshing and decapitation. Unusual features of fatal dog attack inthe young. Am J Forensic Med Pathol 2007;28:131e6.

3. Byard RW. Sudden death in the young. 3rd ed. Cambridge, UK: Cambridge Univer-sity Press; 2010.

4. Byard RW, James RA, Gilbert JD. Diagnostic problems associated with cadaverictrauma from animal activity. Am J Forensic Med Pathol 2002;23:238e44.

Roger W. Byard, MD, Forensic Pathologist*

The University of Adelaide, Frome Rd, Adelaide, South Australia,Australia

*Discipline of Anatomy & Pathology, Level 3 Medical School NorthBuilding, The University of Adelaide, Frome Road, Adelaide 5005,

Australia. Tel.: þ61 8 8313 5341; fax: þ61 8 8313 4408.E-mail address: [email protected].

2 December 2013Available online 18 December 2013

edicine. All rights reserved.