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Acute petrified myocardium associated with meningococcal sepsis in childhood-onset systemic lupus erythematous: a fatal case.

Authors :
Santos ACEZ
Luglio M
Delgado AF
Schuwartz CDSV
Marques HHS
Valões CCM
Dominguez MAC
Carvalho WB
Silva CA
Duarte-Neto AN
Source :
Revista do Instituto de Medicina Tropical de Sao Paulo [Rev Inst Med Trop Sao Paulo] 2019 Aug 08; Vol. 61, pp. e39. Date of Electronic Publication: 2019 Aug 08.
Publication Year :
2019

Abstract

Acute petrified myocardium associated with septic shock, diagnosed by autopsy has rarely been described. A 15-year-old adolescent male was diagnosed with childhood-onset systemic lupus erythematosus. One year later, he was hospitalized with fever, myalgia, headache, arthritis, vomiting, dyspnea and was diagnosed with sepsis secondary to bronchopneumonia and meningitis. Blood culture identified Neisseria meningitidis serogroup Y. Despite antibiotics and intensive therapeutic measures, he died after 29 days of hospitalization. The autopsy revealed necrotic cardiomyocytes with dystrophic calcification and interstitial fibrosis.

Details

Language :
English
ISSN :
1678-9946
Volume :
61
Database :
MEDLINE
Journal :
Revista do Instituto de Medicina Tropical de Sao Paulo
Publication Type :
Report
Accession number :
31411269
Full Text :
https://doi.org/10.1590/S1678-9946201961039