FORENSIC MEDICAL DIAGNOSIS OF THANATOGENESIS OF COMBINED VINEGAR AND ALCOHOL POISONING: CLINICAL MANIFESTATIONS AND MORPHOLOGICAL CHANGES.

Abstract

Acute poisoning with concentrated acetic acid (vinegar essence, 70–90%) is a severe chemical trauma causing massive intravascular hemolysis, corrosive gastrointestinal burns, and rapid multi-organ dysfunction. Concomitant alcohol intoxication alters the toxicodynamics, creating a dual effect: partial mucosal protection versus accelerated systemic toxicity. Despite high lethality, chronological patterns of clinical-morphological manifestations remain underexplored in forensic literature, particularly regarding alcohol's modifying role.