An Autopsy Case of Fulminant,Suppurative Bacterial Myocarditis Caused by Group B Streptococcus |
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Authors: | Ryuta Nakashima Munenori Kotoku Ayako Gamachi Nobuhiro Inagaki Shunji Kasaoka |
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Institution: | 1.Graduate School of Medical Science, Kumamoto University, Japan; 2.Department of Emergency and Critical Care Medicine, Oita City Medical Association''s Almeida Memorial Hospital, Japan; 3.Department of Cardiovascular Medicine, Oita City Medical Association''s Almeida Memorial Hospital, Japan; 4.Department of Laboratory Medicine, Oita City Medical Association''s Almeida Memorial Hospital, Japan; 5.Disaster Medical Education and Research Center, Kumamoto University, Japan |
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Abstract: | A 61-year-old woman was admitted to our hospital with a fever, nausea, diarrhea, and back pain. Her condition rapidly deteriorated, and she was transferred to the intensive-care unit for mechanical circulatory support and antibiotics, but she died 40 hours after admission. Autopsy findings showed necrotic and suppurative myocardial changes due to group B Streptococcus (GBS). To date, only one case of bacterial myocarditis caused by GBS has been reported. We herein report a case of GBS myocarditis, the etiology of which is poorly understood due to the limited number of cases. Bacterial myocarditis should be considered in patients with sepsis and myocardial dysfunction. |
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Keywords: | bacterial myocarditis biopsy group B Streptococcus sepsis |
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