Coronary arteritis as a cause of sudden cardiac death in a young girl
DOI:
https://doi.org/10.4322/acr.2021.310Keywords:
Tuberculosis, Coronary vessels, Death, Sudden, Cardiac, AutopsyAbstract
A case of probable coronary arteritis in a young girl who died suddenly and unexpectedly is presented. The histologic presentation of the disorder is discussed, especially the differential diagnosis of arteritis of the coronary arteries with an emphasis on tuberculosis (TB). TB myocarditis with or without concomitant lung involvement is rare, and tubercular coronary arteritis without underlying pulmonary Koch’s disease is all the rarer. We herein describe a case where the cause of death was ascertained on post-mortem examination.
Downloads
References
World Health Organization (WHO). Global tuberculosis report. Geneva: WHO; 2020 [cited 2021 April 11]. Available from https://www.who.int/publications/i/item/9789240013131
Fanning A. Tuberculosis: 6. Extrapulmonary disease. CMAJ. 1999;160(11):1597-603. PMid:10374005.
Golden MP, Vikram HR. Extrapulmonary tuberculosis: an overview. Am Fam Physician. 2005;72(9):1761-8. PMid:16300038.
Liu A, Hu Y, Coates A. Sudden cardiac death and tuberculosis - how much do we know? Tuberculosis. 2012;92(4):307-13. http://dx.doi.org/10.1016/j.tube.2012.02.002. PMid:22405969.
Rose AG. Cardiac tuberculosis: a study of 19 patients. Arch Pathol Lab Med. 1987;111(5):422-6. PMid:3566473.
Cunningham KS, Spears DA, Care M. Evaluation of cardiac hypertrophy in the setting of sudden cardiac death. Forensic Sci Rev. 2019;4(3):223-40. http://dx.doi.org/10.1080/20961790.2019.1633761. PMid:31489388.
Chan S. An unusual case of mycobacterium tuberculous coronary arteritis and thrombosis resulting in acute myocardial infarction. Forensic Sci Med Pathol. 2018;14(3):390-4. http://dx.doi.org/10.1007/s12024-018-0002-y. PMid:29987528.
Horn H, Saphir O. The involvement of myocardium in tuberculosis: a review of literature and a report of three cases. Am Rev Tuberc. 1935;32:492-504.
Zlateva M, Belicheya L. Lesion of the cardiac arteries in general miliary tuberculosis. Arkh Patol. 1982;44(1):63-6. PMid:7065926.
Kinare SG, Bhatia BI. Tuberculous coronary arteritis with aneurysm of the ventricular septum. Chest. 1971;60(6):613-6. http://dx.doi.org/10.1378/chest.60.6.613. PMid:5126198.
Fong IW. Emerging relations between infectious diseases and coronary artery disease and atherosclerosis. CMAJ. 2000;163(1):49-56. PMid:10920732.
Li J, Zhu M, Li M, et al. Cause of death in Chinese Takayasu arteritis patients. Medicine. 2016;95(27):e4069. PMid:27399093.
Jacobs HD, Elliot GA. Cardiac ventricular aneurysm in South Africa. Acta Med Scand Suppl. 1955;306:84-95. PMid:13301398.
Rodríguez Y, Armas Y, Capó V, Wissmann G, Goldani LZ, Waard JH. Sudden death related to tuberculous coronary arteritis. Int J Cardiol. 2012;156(2):E28-9. http://dx.doi.org/10.1016/j.ijcard.2011.08.002. PMid:21880380.
Peddle L, Otto M. Coronary artery tuberculosis: an unusual case of sudden death. Leg Med . 2018;30:56-8. http://dx.doi.org/10.1016/j.legalmed.2017.11.008. PMid:29175584.
Downloads
Published
Issue
Section
License
Copyright (c) 2021 Autopsy and Case Reports
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright
Authors of articles published by Autopsy and Case Report retain the copyright of their work without restrictions, licensing it under the Creative Commons Attribution License - CC-BY, which allows articles to be re-used and re-distributed without restriction, as long as the original work is correctly cited.