Author(s): Santos, Ana Carolina Etrusco Zaroni ; Luglio, Michele ; Delgado, Artur Figueiredo ; Schuwartz, Constance Dell Santo Vieira ; Marques, Heloísa Helena Sousa ; Valões, Clarissa Carvalho de Miranda ; Dominguez, Maria Andreina Cabrera ; Carvalho, Werther Brunow de ; Silva, Clovis Artur ; Duarte-Neto, Amaro Nunes
Date: 2019
Origin: Oasisbr
Subject(s): Myocardial calcification; Sepsis; Neisseria meningitides; Lupus; Intensive care
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.
