Postmortem Caloricity
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Postmortem caloricity is a phenomenon where the body temperature of a
corpse A cadaver or corpse is a dead human body that is used by medical students, physicians and other scientists to study anatomy, identify disease sites, determine causes of death, and provide tissue to repair a defect in a living human being. Stud ...
rises or remains unusually high for up to 2 hours after
death Death is the irreversible cessation of all biological functions that sustain an organism. For organisms with a brain, death can also be defined as the irreversible cessation of functioning of the whole brain, including brainstem, and brain ...
instead of falling.


Cause

Postmortem caloricity may (more frequently) be observed in deaths resulting from
asphyxia Asphyxia or asphyxiation is a condition of deficient supply of oxygen to the body which arises from abnormal breathing. Asphyxia causes generalized hypoxia, which affects primarily the tissues and organs. There are many circumstances that ca ...
, poisonings (e.g. with datura, alcohol, strychnine),
sepsis Sepsis, formerly known as septicemia (septicaemia in British English) or blood poisoning, is a life-threatening condition that arises when the body's response to infection causes injury to its own tissues and organs. This initial stage is follo ...
,
bacteraemia Bloodstream infections (BSIs), which include bacteremias when the infections are bacterial and fungemias when the infections are fungal, are infections present in the blood. Blood is normally a sterile environment, so the detection of micro ...
, and infectious diseases (
yellow fever Yellow fever is a viral disease of typically short duration. In most cases, symptoms include fever, chills, loss of appetite, nausea, muscle pains – particularly in the back – and headaches. Symptoms typically improve within five days. ...
,
rabies Rabies is a viral disease that causes encephalitis in humans and other mammals. Early symptoms can include fever and tingling at the site of exposure. These symptoms are followed by one or more of the following symptoms: nausea, vomiting, ...
, rheumatic fever, cholera,
tetanus Tetanus, also known as lockjaw, is a bacterial infection caused by ''Clostridium tetani'', and is characterized by muscle spasms. In the most common type, the spasms begin in the jaw and then progress to the rest of the body. Each spasm usually ...
,
smallpox Smallpox was an infectious disease caused by variola virus (often called smallpox virus) which belongs to the genus Orthopoxvirus. The last naturally occurring case was diagnosed in October 1977, and the World Health Organization (WHO) c ...
), meningitis,
peritonitis Peritonitis is inflammation of the localized or generalized peritoneum, the lining of the inner wall of the abdomen and cover of the abdominal organs. Symptoms may include severe pain, swelling of the abdomen, fever, or weight loss. One part o ...
, nephritis, brain stem haemorrhages (especially pontine haemorrhages), intracranial injuries,
liver abscess A liver abscess is a mass filled with pus inside the liver. Common causes are abdominal conditions such as appendicitis or diverticulitis due to haematogenous spread through the portal vein. It can also develop as a complication of a liver injury. ...
es,
sunstroke Heat stroke or heatstroke, also known as sun stroke, is a severe heat illness that results in a body temperature greater than , along with red skin, headache, dizziness, and confusion. Sweating is generally present in exertional heatstroke, b ...
, etc. According to Robert G. Mayer, author of the seminal "Embalming: History, Theory and Practice," postmortem caloricity is a "rise in temperature after death due to continued cellular oxidation." Students of mortuary science must remember that there are two phases of death--somatic and cellular. Somatic death is the cessation of the tripod of life, meaning the failure of circulation, respiration, or cerebral activity. Cellular death continues long after somatic death, with the classic resulting condition of rigor mortis (stiffening of the muscles due to lack of oxygen and increase in lactic acids.) One must also remember that postmortem changes are attributable to the activity of enzymes and not simply bacteria. As such, postmortem caloricity is a postmortem cellular phenomenon associated with cellular oxidation. Postmortem caloricity is a purely chemical reaction and has no relation to microbial activity, similar to rigor mortis, algor mortis (postmortem cooling of the body), and livor mortis (a.k.a. settling of blood to dependent parts of the body due to gravity). Postmortem caloricity is a fairly rare phenomenon and while statistical data is unavailable in the literature, any experienced embalmer, coroner, or medical examiner will affirm that it is atypical regarding cellular death.


Mechanism

Postmortem heat production is caused by biochemical and microbial activity in the dead body. The cause of postmortem caloricity varies depending on the cause of death: * Postmortem glycogenolysis – a phenomenon beginning soon after death observed in nearly all cadavers. In an average adult, postmortem glycogenolysis can produce up to 140 calories of heat which can raise the temperature of the body by up to 2 °C. * Bactaeremia,
sepsis Sepsis, formerly known as septicemia (septicaemia in British English) or blood poisoning, is a life-threatening condition that arises when the body's response to infection causes injury to its own tissues and organs. This initial stage is follo ...
, and infectious causes – heat production may be attributed to postmortem microbial activity. * Sunstroke, and pontine haemorrhages – disruption of thermoregulation prior to death. * Tetanus, and strychnine – heat is produced by muscular contractions. The corpse may also absorb heat from the environment when environmental temperature exceeds that of the body.


References


Sources

* * * * * {{Unreliable source?, date=January 2018 Anatomical pathology Medical aspects of death