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An Autopsy Case of Fulminant, Suppurative Bacterial Myocarditis Caused by Group B Streptococcus
Ryuta Nakashima1,2, Munenori Kotoku3, Ayako Gamachi4
1Graduate School of Medical Science, 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.
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