The deceased was a 75-year-old male, found dead in his home. He had a history of occupational asbestos exposure for 13 years. At autopsy, there was diffuse fibrosis of the lung, with diffuse pleural thickening. Large amounts of asbestos bodies were detected in the lung tissue. The findings of transmission electron microscopy with energy-dispersive X-ray microanalysis (TEM-EDX) also showed asbestos fibers deposited in the lung tissue. From the macroscopic and histological findings of the lung, the number of asbestos bodies in the lung tissue and the TEM-EDX findings, we concluded that the cause of his death was chronic respiratory failure due to asbestosis. We recognize the importance of a detailed occupational history, which provides useful information for determining the cause of death.

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