Idiopathic myocarditis clinical and pathological observations - the autopsy report of 2 cases.docVIP

 PAGE \* MERGEFORMAT 15 Idiopathic myocarditis clinical and pathological observations - the autopsy report of 2 cases Keywords: clinical and pathological observation of myocarditis Idiopathic myocarditis (Idiopathic myocarditis) is a rare heart disease, so far no clear cause, often sudden death of heart failure [1]. Taizhou is a result of medical events to collect disputed autopsy in 2 cases of idiopathic myocarditis cases, combined with literature review of clinical and pathological features. Report are as follows. A clinical data Case 1: Female; 28. Fever, headache, sore throat, upper abdominal discomfort associated with anorexia and 3d, on October 24, 2004 admission. Patients denied history of rheumatism. Physical examination: body temperature 38.8 ℃, pulse 110 times / min. Pharyngeal tonsil II ° enlargement; cardiac percussion heart border slightly enlarged heart can be heard before the District, a low blunt systolic murmur; abdominal light tenderness, no rebound tenderness and muscle tension. Laboratory tests, see WBC 9.1 × 109 / L, neutrophils 68%. ECG: sinus tachycardia, II ° AV block. Cardiac echocardiography prompted cavity to expand. Clinical diagnosis of upper respiratory infection. The 1st day after admission to the antibiotics and infusion therapy, infusion 5min after the sudden cardiac arrest, after cardiopulmonary resuscitation 2h died. In general examination: the epicardium is smooth, can be seen through the epicardial myocardium of varying sizes filled with white patchy lesions. Heart weight 580g, acts of blood along the road cut, see the left and right heart chamber to expand, the heart cavity and the large amount of blood clots within the great vessels, left and right atrial appendage see the three mural thrombus formation, the size of 0.3 ~ 0.6cm. Ventricular wall thickening, left and right ventricular wall were 1.3cm and 1.0cm. Left ventricular aspect to note that the size of lesions ranging from patchy greyish yell