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B 型链球菌致暴发性化脓性细菌性心肌炎 1 例尸检

An Autopsy Case of Fulminant, Suppurative Bacterial Myocarditis Caused by Group B Streptococcus.

机构信息

Graduate School of Medical Science, Kumamoto University, Japan.

Department of Emergency and Critical Care Medicine, Oita City Medical Association's Almeida Memorial Hospital, Japan.

出版信息

Intern Med. 2022 Mar 15;61(6):907-912. doi: 10.2169/internalmedicine.5498-20. Epub 2021 Sep 18.

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.

摘要

一位 61 岁女性因发热、恶心、腹泻和背痛入院。她的病情迅速恶化,被转至重症监护病房进行机械循环支持和抗生素治疗,但入院后 40 小时死亡。尸检结果显示,由于 B 群链球菌(GBS)导致心肌坏死和化脓性改变。迄今为止,仅有一例由 GBS 引起的细菌性心肌炎的报道。由于病例数量有限,GBS 心肌炎的病因尚不清楚。对于脓毒症和心肌功能障碍的患者,应考虑细菌性心肌炎。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/924b/8987262/37684fee2983/1349-7235-61-0907-g001.jpg

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