As questions proceed to encompass the loss of life of 14-year-old Miller Gardner, a Costa Rican physician has helped shed some mild on the case.
Dr. Maikel Vargas-Sanabria, a forensic pathologist and professor on the College of Costa Rica, solely instructed Us Weekly why authorities may have initially believed Gardner — the son of former New York Yankees star Brett Gardner — died of food poisoning after focus shifted on Monday, March 31, to excessive ranges of carbon monoxide that have been present in his lodge room.
“It must be a fulminant sort of meals poisoning, like an anaphylactic response,” Vargas-Sanabria instructed Us on Monday.. “That’s when somebody has a recognized allergy to a substance — for instance, some persons are allergic to peanuts, or to sure elements, akin to once they’re injected with an antibiotic like penicillin. In a matter of minutes, the particular person suffers a collapse — an anaphylactic shock. Shock means cardiovascular collapse, and inside minutes the particular person dies due to issue respiratory, amongst different issues.”
Vargas-Sanabria added, “In carbon monoxide poisoning, there are additionally signs inside minutes that may trigger loss of life. So, for these two situations to be confused, the meals poisoning must be an anaphylactic-type response — in different phrases, fulminant — involving one thing the particular person is extremely allergic to, like peanuts or different allergens.”

Miller was discovered lifeless on March 21 in his lodge room on the Arenas Del Mar & Rainforest Resort within the Costa Rica vacationer area of Manuel Antonio whereas vacationing together with his household.
His preliminary explanation for loss of life was dominated to be asphyxia “after a attainable intoxication after apparently ingesting some meals” by Costa Rica’s Judicial Investigative Company (OIJ), nonetheless asphyxia was later ruled out.
After hypothesis that Miller may have died of meals poisoning — which was a principle floated to CNN by a consultant from the OIJ on March 26 — Randall Zúñiga, Normal Director of the OIJ, stated on Monday, March 31, by way of a digital communication that Miller “may have died from inhaling” carbon monoxide.
“Common meals poisoning is when somebody eats one thing spoiled,” Vargas-Sanabria additional defined. “That causes a unique sort of poisonous syndrome the place they could expertise diarrhea, vomiting, abdomen ache — or in additional extreme instances, uncontrollable vomiting and dehydration — however that couldn’t realistically be confused with carbon monoxide poisoning.”
Vargas-Sanabria described the method of carbon monoxide poisoning as “chemical asphyxiation.”
“Hemoglobin within the blood often carries oxygen that we breathe, and it transports that oxygen to each cell within the physique,” the physician detailed. “However carbon monoxide binds to hemoglobin over a thousand occasions extra strongly than oxygen does. So it blocks the hemoglobin, attaching tightly to it, and regardless of how a lot oxygen is current within the setting or within the lungs, the physique can’t take up it into the bloodstream. In consequence, oxygen doesn’t attain the cells — and the cells which might be most affected first are the mind neurons and coronary heart cells.”
Inside minutes, Vargas-Sanabria defined, a person experiencing carbon monoxide poisoning “turns into drowsy, then has seizures.”
“That’s as a result of mind cells, which want oxygen, can’t survive greater than 5 minutes with out it — they start to die and trigger convulsions,” he continued. “The particular person additionally turns reddish in shade, which is in contrast to typical asphyxiation, the place somebody turns blue.”
Miller’s post-mortem and toxicology outcomes, which can reveal an official explanation for loss of life, are not expected for months.
With reporting by Alejandra Araya Rojas