The death of Real Housewives of Atlanta star A.J. Jewell, who was killed last month, has officially been ruled a homicide, the Fulton County Medical Examiner says.

The cause of death for A.J. Jewell, who died in a bar fight October 2, is listed as, "Physical altercation resulting in sickle cell trait related exertional collapse."

Contributing factors were "intestinal myocardial fidrosis," as well as an enlarged heart. In short, the fight triggered a flare up with Jewell's sickle cell disease.

Jewell, the ex-fiance of Real Housewives of Atlanta staple Kandi Burruss, who appeared often on the hit Bravo show, died after a strip club brawl in Atlanta.

Kandi Burruss and former fiance A.J. Jewell in happier times.

The other man involved in the fight, which took place in the parking lot, Frederick Richardson, has been arrested and charged with voluntary manslaughter.

Asked for comment, Richardson's attorney told TMZ only that "It's an unfortunate situation, Frederick is sorry this situation happened and that A.J. died."