Journal List > Korean J Leg Med > v.38(2) > 1004741

Korean J Leg Med. 2014 May;38(2):78-82. Korean.
Published online May 28, 2014.  https://doi.org/10.7580/kjlm.2014.38.2.78
© Copyright 2014 by the Korean Society for Legal Medicine
Infective Endocarditis: An Autopsy Case Report with Literature Review
Joo-Young Na,1 Whee-Yeol Cho,1 Jeong-Woo Park,1 Yoo-Duk Choi,2 Hyung-Seok Kim,3 and Jong-Tae Park3
1Forensic Medicine Division, Gwangju Institute, National Forensic Service, Jangseong-gun, Jeollanam, Korea.
2Department of Pathology, Chonnam National University Medical School, Gwangju, Korea.
3Department of Forensic Medicine, Chonnam National University Medical School, Gwangju, Korea.

Corresponding author (Email: pdrdream@gmail.com )
Received May 07, 2014; Revised May 13, 2014; Accepted May 14, 2014.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.


Abstract

A 69-year-old man was admitted to the hospital because of flu-like symptoms and fatigue for 2 weeks. Computed tomography revealed ground glass opacity and consolidation in both the lungs as well as pleural effusion. The patient was diagnosed with pneumonia and was hospitalized. At the time of hospitalization, he complained of shortness of breath and coughed-up blood-tinged sputum. Two days after admission, he died suddenly. An autopsy was performed; cardiomegaly was noted, and further examination revealed that the aortic valve had been destroyed by multiple, irregular vegetations. Herein, we report an autopsy case of infective endocarditis with a review of the relevant literatures.

Keywords: Infective endocarditis; Forensic; Autopsy

Figures


Fig. 1
Destroyed aortic cusps and vegetations, measuring up to 1.2 × 0.7 cm are noted. Cross sections of the myocardium show multiple patch-like fibrotic lesions.
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Fig. 2
Microscopically, the aortic valve demonstrated friable vegetations comprising fibrin and platelets mixed with inflammatory cells and bacteria (H&E, × 100).
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Tables


Table 1
Modified Duke Criteria for the Diagnosis of Infective Endocarditis2)
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Table 2
Causes of Unexpected Death in Patient with of Infective Endocarditis4)
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References
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8. Cohle SD, Graham MA, Sperry KL, et al. Unexpected death as a result of infective endocarditis. J Forensic Sci 1989;34:1374–1386.