ABDOMINAL
GENERALISED LYMPHADENOPATHY
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Question
[CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
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A child presented with diphtheria and died on the 2nd week of the disease from an acute heart failure. A post-mortem revealed numerous fine centres of a myolysis, accompanied with some perifocal lymphoid infiltration. What became a cause of death?
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Myocarditis, caused by bacterial ectotoxin
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Bacterial myocarditis
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Septic myocarditis
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Myocardial infarction
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Explanation:
Detailed explanation-1: -Although the most common echocardiographic finding associated with myocarditis is a dilated cardiomyopathy phenotype of left ventricular dilatation and reduced ejection fraction, hypertrophic and restrictive phenotypes have been described in histologically proven myocarditis.
Detailed explanation-2: -Although it may be asymptomatic, the most common presenting features are chest pain (in 85–95% of cases), fever (in approximately 65%) and dyspnoea (19–49% of cases). Acute myocarditis therefore needs to be differentiated from acute coronary syndromes and acute pericarditis given the overlapping clinical features.
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