However, the forensic repot points out that at the moment of death the deceased had
lung TB with the hyperplasia of peribronchitis and mediastinum (A15.2).
P.R.
A convict P.R. died the night of August 18, 2014 of acute liver insufficiency in Imereti
Regional Clinical Hospital. According to the medical documentation, P.R. was provided
with medical assistance on April 4, 2014. S/he was diagnosed with viral Hepatitis C. On
April 17, 2014 the convict was enrolled in the Hepatitis C Programme and prescribed
Pegferon and Ribovirin. The first injection was administered on July 17, 2014 and by
August 7 the condition of the patient was satisfactory. The patient complained about
dizziness and fatigue. The complaints started after an injection of Pegferon. Vesicular
breathing normal, cardiac sounds of low intensity, weak filling condition of the pulse,
the stomach was soft, a pain was reported when palpated, the spleen and the liver
could not be found, Pasternack syndrome negative. The patient did not report any
complaints during an examination on August 8 and the overall condition was evaluated
as satisfactory.
On August 14, 2014 the patient was administered a Pegferon injection. S/he complained
about dizziness and fatigue, sweatiness. After an hour from the Pegferon injection the
patient starting feeling sick with weak ventricular breathing in the lungs, weak filling
condition of the pulse, cardiac sounds of low intensity, arterial blood pressure 90/70
mm, pulsation 70, the stomach soft and without pain. The patient was given an IV
diffusion after which s/he felt better.
On August 15, 2014 P.R. was transferred to the Imereti Regional Clinical Hospital
with a preliminary diagnosis of acute liver insufficiency, chronic Hepatitis C, hepatic
encephalopathy. Upon the admission to hospital, the convict was inadequate,
disoriented and struggled with answering questions. In spite of medical assistance
rendered to the patient, s/he died on August 18, 2014.
According to the report N004432414 of the National Forensics Bureau, the death
was caused by pneumo-cardiac insufficiency resulted from double purulent lobar
pneumonia and chronic cardiac ischemic disease. The forensic report indicates the
following diagnosis: chronic cardiac ischemic disease, atherosclerotic coronary
sclerosis, post-infraction scars in the myocardium, myofibrils, epicardial lipomatosis,
aortal atherosclerosis, cardiac hypertrophy, the wall of the left ventricle 2.0 cm thick,
double lobar pneumonia with purulent sections, bronchitis, focal emphysema, chronic
hepatitis, hepatosis, atherosclerosis of IV vessels, tubulointerstitial nephritis, swelling
of the brain-tunic and matters, full-bloodiness of internal parenchyma organs, swelling.
The blood sample showed the presence of psychotropic substance Diazepam.
It is worth noting that the information provided by the Medical Department of the
Ministry of Corrections does not contain any evidence that the patient was tested for
cardiovascular (except for EKG) and pulmonary diseases.
NATIONAL PREVENTIVE MECHANISM OF GEORGIA
125
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