An Autopsy Case of Fulminant, Suppurative Bacterial Myocarditis Caused by Group B Streptococcus
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 ne...
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| Veröffentlicht in: | Internal Medicine 2022/03/15, Vol.61(6), pp.907-912 |
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| container_title | Internal Medicine |
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| creator | Nakashima, Ryuta Kotoku, Munenori Gamachi, Ayako Inagaki, Nobuhiro Kasaoka, Shunji |
| description | 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. |
| doi_str_mv | 10.2169/internalmedicine.5498-20 |
| format | Article |
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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.</description><identifier>ISSN: 0918-2918</identifier><identifier>EISSN: 1349-7235</identifier><identifier>DOI: 10.2169/internalmedicine.5498-20</identifier><identifier>PMID: 34544955</identifier><language>eng</language><publisher>Japan: The Japanese Society of Internal Medicine</publisher><subject>Antibiotics ; Autopsies ; Autopsy ; Bacteria ; Bacterial Infections - complications ; bacterial myocarditis ; biopsy ; Case Report ; Case reports ; Diarrhea ; Etiology ; Female ; Fever ; group B Streptococcus ; Heart diseases ; Humans ; Internal medicine ; Middle Aged ; Myocarditis ; Myocarditis - etiology ; Nausea ; Sepsis ; Streptococcus ; Streptococcus agalactiae ; Suppuration - complications</subject><ispartof>Internal Medicine, 2022/03/15, Vol.61(6), pp.907-912</ispartof><rights>2022 by The Japanese Society of Internal Medicine</rights><rights>Copyright Japan Science and Technology Agency 2022</rights><rights>Copyright © 2022 by The Japanese Society of Internal Medicine</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c666t-276ee28757c5e44bafbb5749e8348c9c5e078b00e25950d6e6d483f966cf9b103</citedby><cites>FETCH-LOGICAL-c666t-276ee28757c5e44bafbb5749e8348c9c5e078b00e25950d6e6d483f966cf9b103</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8987262/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8987262/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,1883,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34544955$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nakashima, Ryuta</creatorcontrib><creatorcontrib>Kotoku, Munenori</creatorcontrib><creatorcontrib>Gamachi, Ayako</creatorcontrib><creatorcontrib>Inagaki, Nobuhiro</creatorcontrib><creatorcontrib>Kasaoka, Shunji</creatorcontrib><title>An Autopsy Case of Fulminant, Suppurative Bacterial Myocarditis Caused by Group B Streptococcus</title><title>Internal Medicine</title><addtitle>Intern. Med.</addtitle><description>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.</description><subject>Antibiotics</subject><subject>Autopsies</subject><subject>Autopsy</subject><subject>Bacteria</subject><subject>Bacterial Infections - complications</subject><subject>bacterial myocarditis</subject><subject>biopsy</subject><subject>Case Report</subject><subject>Case reports</subject><subject>Diarrhea</subject><subject>Etiology</subject><subject>Female</subject><subject>Fever</subject><subject>group B Streptococcus</subject><subject>Heart diseases</subject><subject>Humans</subject><subject>Internal medicine</subject><subject>Middle Aged</subject><subject>Myocarditis</subject><subject>Myocarditis - etiology</subject><subject>Nausea</subject><subject>Sepsis</subject><subject>Streptococcus</subject><subject>Streptococcus agalactiae</subject><subject>Suppuration - complications</subject><issn>0918-2918</issn><issn>1349-7235</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNplkU1v1DAQhi0EokvhLyBLXDg0xXFsx74gbVe0IBU4FM6W40xar7Jx8Eel_fc42mUF5TIjjZ95xzMvQrgml7QW6oObEoTJjDvonXUTXHKmZEXJM7SqG6aqljb8OVoRVZdqCWfoVYxbQhrZKvoSnTWMM6Y4XyG9nvA6Jz_HPd6YCNgP-DqPOzeZKV3guzzPOZjkHgFfGVumOjPir3tvTehdcrE05Qg97vb4Jvg84yt8lwLMyVtvbY6v0YvBjBHeHPM5-nn96cfmc3X7_ebLZn1bWSFEqmgrAKhseWs5MNaZoet4yxTIhkmrSpG0siMEKFec9AJEz2QzKCHsoLqaNOfo40F3zl25ioUpBTPqObidCXvtjdP_vkzuQd_7Ry2VbKmgReD9USD4Xxli0jsXLYyjmcDnqClvOWkJF6qg756gW58XOwolmKg5a4QslDxQNvgYAwynz9RELy7qpy7qxUVNl2Xe_r3MqfGPbQX4dgC2MZl7OAEmJGdH-F9Z1Fos4TjhBNoHEzRMzW_0F7ws</recordid><startdate>20220315</startdate><enddate>20220315</enddate><creator>Nakashima, Ryuta</creator><creator>Kotoku, Munenori</creator><creator>Gamachi, Ayako</creator><creator>Inagaki, Nobuhiro</creator><creator>Kasaoka, Shunji</creator><general>The Japanese Society of Internal Medicine</general><general>Japan Science and Technology Agency</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20220315</creationdate><title>An Autopsy Case of Fulminant, Suppurative Bacterial Myocarditis Caused by Group B Streptococcus</title><author>Nakashima, Ryuta ; Kotoku, Munenori ; Gamachi, Ayako ; Inagaki, Nobuhiro ; Kasaoka, Shunji</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c666t-276ee28757c5e44bafbb5749e8348c9c5e078b00e25950d6e6d483f966cf9b103</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Antibiotics</topic><topic>Autopsies</topic><topic>Autopsy</topic><topic>Bacteria</topic><topic>Bacterial Infections - complications</topic><topic>bacterial myocarditis</topic><topic>biopsy</topic><topic>Case Report</topic><topic>Case reports</topic><topic>Diarrhea</topic><topic>Etiology</topic><topic>Female</topic><topic>Fever</topic><topic>group B Streptococcus</topic><topic>Heart diseases</topic><topic>Humans</topic><topic>Internal medicine</topic><topic>Middle Aged</topic><topic>Myocarditis</topic><topic>Myocarditis - etiology</topic><topic>Nausea</topic><topic>Sepsis</topic><topic>Streptococcus</topic><topic>Streptococcus agalactiae</topic><topic>Suppuration - complications</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nakashima, Ryuta</creatorcontrib><creatorcontrib>Kotoku, Munenori</creatorcontrib><creatorcontrib>Gamachi, Ayako</creatorcontrib><creatorcontrib>Inagaki, Nobuhiro</creatorcontrib><creatorcontrib>Kasaoka, Shunji</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Internal Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nakashima, Ryuta</au><au>Kotoku, Munenori</au><au>Gamachi, Ayako</au><au>Inagaki, Nobuhiro</au><au>Kasaoka, Shunji</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>An Autopsy Case of Fulminant, Suppurative Bacterial Myocarditis Caused by Group B Streptococcus</atitle><jtitle>Internal Medicine</jtitle><addtitle>Intern. 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| source | J-STAGE Free; MEDLINE; PubMed Central Open Access; PubMed Central |
| subjects | Antibiotics Autopsies Autopsy Bacteria Bacterial Infections - complications bacterial myocarditis biopsy Case Report Case reports Diarrhea Etiology Female Fever group B Streptococcus Heart diseases Humans Internal medicine Middle Aged Myocarditis Myocarditis - etiology Nausea Sepsis Streptococcus Streptococcus agalactiae Suppuration - complications |
| title | An Autopsy Case of Fulminant, Suppurative Bacterial Myocarditis Caused by Group B Streptococcus |
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