Combined effect of cold with heart pathology in old

Death due to hypothermia is because of exposure to cold temperature, usually during winter season and at high altitudes. Hypothermia occurs when the core body temperature drops below 35°C. Diagnosing hypothermia as the cause of death is very challenging in forensic medicine as the post-mortem findings are not consistent for all hypothermia cases. Therefore, history of the case and investigation of circumstances of the death, crime scene along with a meticulous post-mortem examination is very important in diagnosing cause of death as due to hypothermia. Paradoxical undressing and hide and die syndrome can sometime make the crime scene very suspicious. Hypothermia mainly affects homeless individuals, drug-dependent individuals and those of extreme ends of the age spectrum but can occur in any age group. Hypothermia is relatively rare in places like India with temperate climates as compared to places with colder climate. Hence, there is lack of knowledge about such a condition among both the medical professionals and the common people. Here we report a case of hypothermia in an 82 year old male who was found dead, half naked during the cold winter season and when stomach was opened, Wischnewsky spots were observed on the mucosa.