二尖瓣环钙化感染导致的致命性血心包：尸检病例报告

IF 1.3 4区医学 Q3 MEDICINE, LEGAL

Legal Medicine Pub Date : 2024-02-28 DOI:10.1016/j.legalmed.2024.102431

Shigeki Tsuneya , Taka-aki Matsuyama , Maiko Yoshida , Yumi Hoshioka , Fumiko Chiba , Go Inokuchi , Suguru Torimitsu , Yohsuke Makino , Hirotaro Iwase

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引用次数: 0

摘要

二尖瓣环钙化（MAC）是一种涉及二尖瓣环钙化的慢性退行性疾病。二尖瓣环钙化是冠心病、心血管事件、中风和心血管死亡的危险因素。然而，二尖瓣环钙化患者通常没有症状。在此，我们介绍了法医病理学中第一例因感染 MAC 而导致心脏填塞的病例。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Lethal hemopericardium caused by infection of mitral annular calcification: An autopsy case report

Mitral annular calcification (MAC) is a chronic and degenerative condition involving calcification of the mitral annulus. MAC is a risk factor for coronary artery disease, cardiovascular events, stroke, and cardiovascular death. However, patients with MAC are often asymptomatic. Herein, we present the first case of cardiac tamponade due to infection of MAC in forensic pathology.

An 80-year-old woman was found in cardiopulmonary arrest shortly after experiencing fatigue. She was transferred to a hospital, and despite chest compression and ventilation, she was pronounced dead due to no response. Postmortem computed tomography, autopsy, and histological examination showed MAC, abscess formation involving Gram-positive cocci on the MAC, and fistulation of the abscess into the intracardial pericardial cavities, resulting in a massive lethal hemopericardium.

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来源期刊

Legal Medicine Nursing-Issues, Ethics and Legal Aspects

CiteScore

2.80

自引率

6.70%

发文量

119

审稿时长

7.9 weeks

期刊介绍： Legal Medicine provides an international forum for the publication of original articles, reviews and correspondence on subjects that cover practical and theoretical areas of interest relating to the wide range of legal medicine. Subjects covered include forensic pathology, toxicology, odontology, anthropology, criminalistics, immunochemistry, hemogenetics and forensic aspects of biological science with emphasis on DNA analysis and molecular biology. Submissions dealing with medicolegal problems such as malpractice, insurance, child abuse or ethics in medical practice are also acceptable.