A week-old infant was brought in with a history of possible unsafe sleeping conditions. At autopsy, the decedent was noted to have a large ASD. Examination of the liver revealed severe centrilobular congestion with hepatic necrosis.
I diagnosed this a congestive hepatopathy. On peer review, my colleagues found viral inclusions that made this a TORCH diagnosis. I misdiagnosed this case, and amended the report. Obviously, I’m also deleting the images.
This is a good lesson that even after doing this for decades, I can miss things. A little humilty is important in this job.