Acute petrified myocardium associated with meningococcal sepsis in childhood-onset systemic lupus erythematous: a fatal case
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https://doi.org/10.1590/s1678-9946201961039Palavras-chave:
Myocardial calcification, Sepsis, Neisseria meningitides, Lupus, Intensive careResumo
Acute petrified myocardium associated with septic shock, diagnosed by autopsy has rarely been described. A 15-year-old adolescent male was diagnosed with childhood-onset systemic lupus erythematosus. One year later, he was hospitalized with fever, myalgia, headache, arthritis, vomiting, dyspnea and was diagnosed with sepsis secondary to bronchopneumonia and meningitis. Blood culture identified Neisseria meningitidis serogroup Y. Despite antibiotics and intensive therapeutic measures, he died after 29 days of hospitalization. The autopsy revealed necrotic cardiomyocytes with dystrophic calcification and interstitial fibrosis.
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2019-09-18
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Santos, A. C. E. Z., Luglio, M., Delgado, A. F., Schuwartz, C. D. S. V., Marques, H. H. S., Valões, C. C. de M., Dominguez, M. A. C., Carvalho, W. B. de, Silva, C. A., & Duarte-Neto, A. N. (2019). Acute petrified myocardium associated with meningococcal sepsis in childhood-onset systemic lupus erythematous: a fatal case. Revista Do Instituto De Medicina Tropical De São Paulo, 61, e39. https://doi.org/10.1590/s1678-9946201961039
