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LITTLE ROCK, Ark. (AP) — Arkansas authorities say a hunter who died after a deer he’d shot attacked him had pre-existing medical conditions that contributed to his death.

The Arkansas Game and Fish Commission on Thursday said a preliminary report from the Baxter County coroner shows that 66-year-old Thomas Alexander’s death was not caused solely by the deer attack. The agency did not say what medical conditions Anderson had.

Alexander shot a buck with a muzzleloader while hunting Oct. 22 near Yellville, an area in the Ozark Mountains about 105 miles north of Little Rock. A commission spokesman last week said the deer attacked Alexander when the hunter approached the animal to see if it was dead. Alexander had multiple puncture wounds. He died at a hospital.