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冠状动脉炎作为一名年轻女孩心脏性猝死的原因

Coronary arteritis as a cause of sudden cardiac death in a young girl.

作者信息

Paliwal Purnima, Jain Swasti, Ahuja Arvind, Mittal Sachin, Chauhan Devender Singh

机构信息

Atal Bihari Vajpayee Institute of Medical Sciences, Dr. Ram Manohar Lohia Hospital, Department of Pathology, New Delhi, India.

Atal Bihari Vajpayee Institute of Medical Sciences, Dr. Ram Manohar Lohia Hospital, Department of Forensic Medicine, New Delhi, India.

出版信息

Autops Case Rep. 2021 Aug 20;11:e2021310. doi: 10.4322/acr.2021.310. eCollection 2021.

DOI:10.4322/acr.2021.310
PMID:34458178
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8387068/
Abstract

A case of probable coronary arteritis in a young girl who died suddenly and unexpectedly is presented. The histologic presentation of the disorder is discussed, especially the differential diagnosis of arteritis of the coronary arteries with an emphasis on tuberculosis (TB). TB myocarditis with or without concomitant lung involvement is rare, and tubercular coronary arteritis without underlying pulmonary Koch's disease is all the rarer. We herein describe a case where the cause of death was ascertained on post-mortem examination.

摘要

本文报告一例年轻女孩突然意外死亡，可能患有冠状动脉炎的病例。讨论了该疾病的组织学表现，特别是冠状动脉炎的鉴别诊断，重点是结核病（TB）。伴有或不伴有肺部受累的结核性心肌炎很少见，而无潜在肺部 Koch 病的结核性冠状动脉炎则更为罕见。我们在此描述一例通过尸检确定死因的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6089/8387068/cd9b26577bc1/autopsy-11-e2021310-g04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6089/8387068/f357904da0fb/autopsy-11-e2021310-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6089/8387068/67aa80e462a8/autopsy-11-e2021310-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6089/8387068/2a7a84d74d5d/autopsy-11-e2021310-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6089/8387068/cd9b26577bc1/autopsy-11-e2021310-g04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6089/8387068/f357904da0fb/autopsy-11-e2021310-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6089/8387068/67aa80e462a8/autopsy-11-e2021310-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6089/8387068/2a7a84d74d5d/autopsy-11-e2021310-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6089/8387068/cd9b26577bc1/autopsy-11-e2021310-g04.jpg

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1
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Sudden Death of a Young Man Due to Massive Haemoptysis Associated With Pulmonary Tuberculosis: A Rare Case.一名年轻男子因与肺结核相关的大量咯血而猝死：罕见病例。
Cureus. 2023 Oct 25;15(10):e47635. doi: 10.7759/cureus.47635. eCollection 2023 Oct.
3
Case report: Sudden unexpected death due to tuberculous myocarditis involving sinus node at autopsy.病例报告：尸检显示因结核性心肌炎累及窦房结导致的猝死。

本文引用的文献

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Evaluation of cardiac hypertrophy in the setting of sudden cardiac death.心脏性猝死情况下心脏肥大的评估。
Forensic Sci Res. 2019 Aug 19;4(3):223-240. doi: 10.1080/20961790.2019.1633761. eCollection 2019.
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An unusual case of mycobacterium tuberculous coronary arteritis and thrombosis resulting in acute myocardial infarction.一例罕见的结核分枝杆菌性冠状动脉炎和血栓形成导致急性心肌梗死的病例。
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Tuberculosis: 6. Extrapulmonary disease.结核病：6. 肺外疾病。
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