Abstract
To investigate which fungi can be found during forensic autopsies, a PubMed literature review was done in regard to fungal growth on decomposed human bodies. Unfortunately, the existing data is limited and not all fungi were identified to the species level. We, therefore, collected skin samples with macroscopically visible fungal growth from 23 autopsy cases in Germany and identified the fungi to the species level by molecular methods. The identified species included Aspergillus fumigatus and Candida albicans, which pose an allergenic risk, especially to persons with underlying lung diseases. Because safety standards are lacking, we recommend the use of respiratory protection during exhumations and forensic autopsies, when fungal growth is noted. With regard to the future, a database was set up which could possibly be used as a forensic tool to determine the time of death.
Similar content being viewed by others
References
Lortholary O, Charlier C, Lebeaux D, Lecuit M, Consigny PH (2013) Fungal infections in immunocompromised travelers. Clin Infect Dis 56:861–869
Chu JH, Feudtner C, Heydon K, Walsh TJ, Zaoutis TE (2006) Hospitalizations for endemic mycoses: a population-based national study. Clin Infect Dis 42:822–825
Smith RM, Schaefer MK, Kainer MA, Wise M, Finks J, Duwve J, Fontaine E, Chu A, Carothers B, Reilly A, Fiedler J, Wiese AD, Feaster C, Gibson L, Griese S, Purfield A, Cleveland AA, Benedict K, Harris JR, Brandt ME, Blau D, Jernigan J, Weber JT, Park BJ (2013) Fungal infections associated with contaminated methylprednisolone injections—preliminary report. N Engl J Med 369:1598–1609
Warkentien T, Rodriguez C, Lloyd B, Wells J, Weintrob A, Dunne JR, Ganesan A, Li P, Bradley W, Gaskins LJ, Seillier-Moiseiwitsch F, Murray CK, Millar EV, Keenan B, Paolino K, Fleming M, Hospenthal DR, Wortmann GW, Landrum ML, Kortepeter MG, Tribble DR (2012) Invasive mold infections following combat-related injuries. Clin Infect Dis 55:1441–1449
Neblett Fanfair R, Benedict K, Bos J, Bennett SD, Lo YC, Adebanjo T, Etienne K, Deak E, Derado G, Shieh WJ, Drew C, Zaki S, Sugerman D, Gade L, Thompson EH, Sutton DA, Engelthaler DM, Schupp JM, Brandt ME, Harris JR, Lockhart SR, Turabelidze G, Park BJ (2011) Necrotizing cutaneous mucormycosis after a tornado in Joplin, Missouri, in 2011. N Engl J Med 367:2214–2225
Horner WE, Helbling A, Salvaggio JE, Lehrer SB (1995) Fungal allergens. Clin Microbiol Rev 8:161–179
Cavka M, Glasnovic A, Jankovic I, Sikanjic PR, Peric B, Brkljacic B, Mlinaric-Missoni E, Skrlin J (2010) Microbiological analysis of a mummy from the archeological museum in Zagreb. Coll Antropol 34:803–805
Dosa A (1955) Mold findings on exhumated cadavers and their medicolegal importance. Dtsch Z Gesamte Gerichtl Med 43:506–516
Ishii K, Hitosugi M, Kido M, Yaguchi T, Nishimura K, Hosoya T, Tokudome S (2006) Analysis of fungi detected in human cadavers. Legal Med (Tokyo) 8:188–190
Lopez-Martinez R, Hernandez-Hernandez F, Millan-Chiu BE, Manzano-Gayosso P, Mendez-Tovar LJ (2007) Effectiveness of imazalil to control the effect of fungal deterioration on mummies at the Mexico City Museum “El Carmen”. Rev Iberoam Micol 24:283–288
van de Voorde H, van Dijck PJ (1982) Determination of the time of death by fungal growth. Z Rechtsmed 89:75–80
Hitosugi M, Ishii K, Yaguchi T, Chigusa Y, Kurosu A, Kido M, Nagai T, Tokudome S (2006) Fungi can be a useful forensic tool. Legal Med (Tokyo) 8:240–242
Hawksworth DL, Wiltshire PE (2011) Forensic mycology: the use of fungi in criminal investigations. Forensic Sci Int 206:1–11
Haselwandter K, Ebner MR (1994) Microorganisms surviving for 5300 years. FEMS Microbiol Lett 116:189–193
Antinori S, Nebuloni M, Magni C, Fasan M, Adorni F, Viola A, Corbellino M, Galli M, Vago G, Parravicini C, Ridolfo AL (2009) Trends in the postmortem diagnosis of opportunistic invasive fungal infections in patients with AIDS: a retrospective study of 1,630 autopsies performed between 1984 and 2002. Am J Clin Pathol 132:221–227
Alsharif M, Cameron SE, Young JA, Savik K, Henriksen JC, Gulbahce HE, Pambuccian SE (2009) Time trends in fungal infections as a cause of death in hematopoietic stem cell transplant recipients: an autopsy study. Am J Clin Pathol 132:746–755
Suzuki Y, Kume H, Togano T, Kanoh Y, Ohto H (2013) Epidemiology of visceral mycoses in autopsy cases in Japan: the data from 1989 to 2009 in the Annual of Pathological Autopsy Cases in Japan. Med Mycol 51:522–526
Colombo TE, Soares MM, D′Avilla SC, Nogueira MC, de Almeida MT (2012) Identification of fungal diseases at necropsy. Pathol Res Pract 208:549–552
Dettmeyer RB (2011) Forensic histopathology. Springer, Berlin Heidelberg
European Parliament (2000) Directive 2000/54/EC of the European Parliament and of the Council of 18 September 2000 on the protection of workers from risks related to exposure to biological agents at work. Off J L262:21–45
de Hoog GS, Guarro J, Gene J, Figueras MJ (2011) Atlas of clinical fungi. American Society for Microbiology, Washington D. C
Schwarz P, Bretagne S, Gantier JC, Garcia-Hermoso D, Lortholary O, Dromer F, Dannaoui E (2006) Molecular identification of zygomycetes from culture and experimentally infected tissues. J Clin Microbiol 44:340–349
White TJ, Bruns T, Lee S, Taylor J (1990) Amplification and direct sequencing of fungal ribosomal RNA genes for phylogenetics. Academic, New York
Glass NL, Donaldson GC (1995) Development of primer sets designed for use with the PCR to amplify conserved genes from filamentous ascomycetes. Appl Environ Microbiol 61:1323–1330
Martinez-Ramirez JA, Strien J, Sanft J, Mall G, Walther G, Peters FT (2013) Studies on drug metabolism by fungi colonizing decomposing human cadavers. Part I: DNA sequence-based identification of fungi isolated from postmortem material. Anal Bioanal Chem 405:8443–8450
Brummer E, Castaneda E, Restrepo A (1993) Paracoccidioidomycosis: an update. Clin Microbiol Rev 6:89–117
Kauffman CA (2007) Histoplasmosis: a clinical and laboratory update. Clin Microbiol Rev 20:115–132
Saccente M, Woods GL (2010) Clinical and laboratory update on blastomycosis. Clin Microbiol Rev 23:367–381
Nolte KB, Taylor DG, Richmond JY (2002) Biosafety considerations for autopsy. Am J Forensic Med Pathol 23:107–122
United States Environmental Protection Agency (2008) Mold remediation in schools and commercial buildings. EPA 402-K-01-001
Acknowledgments
The authors wish to thank Uta Eisentraut for her help in the sequencing of the isolates.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Schwarz, P., Dannaoui, E., Gehl, A. et al. Molecular identification of fungi found on decomposed human bodies in forensic autopsy cases. Int J Legal Med 129, 785–791 (2015). https://doi.org/10.1007/s00414-014-1118-6
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00414-014-1118-6