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An Autopsy Case of Fulminant,Suppurative Bacterial Myocarditis Caused by Group B Streptococcus
Authors:Ryuta Nakashima  Munenori Kotoku  Ayako Gamachi  Nobuhiro Inagaki  Shunji Kasaoka
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
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.
Keywords:bacterial myocarditis  biopsy  group B Streptococcus  sepsis
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