<- Home <- Arhive <- Vol. 26, Issue 3, September 2018

Rom J Leg Med26(3)241-245(2018)
© Romanian Society of Legal Medicine

Sudden death of two infants with dilated cardiomyopathy: A case report

S. Matsumoto, K. Iwadate , Y. Kanto , S. Otsuka

Abstract: Dilated cardiomyopathy (DCM) occasionally contributes to sudden death, and in rare cases, undiagnosed DCM may be encountered during forensic autopsy. It is difficult for forensic experts to confirm the cause of DCM because only limited examinations can be performed during forensic autopsy. In this report, we presented two cases of sudden infant death due to DCM transitioned from lymphocytic myocarditis. In case 1, we observed biventricular dilation, moderate diffuse lymphocytic infiltration, irregular arrangement of myocardial fibers, and fibrosis. In case 2, we observed biventricular dilation, mild lymphocytic infiltration, and mild diffuse fibrosis. In these two cases, the patient was diagnosed with DCM that had transitioned from myocarditis only during autopsy but had not been diagnosed earlier owing to the absence of abnormalities during medical examination. Both forensic experts and clinical doctors should consider the possibility of inapparent cardiomyopathy in subjects who have a clinical course similar to the abovementioned cases
Keywords: dilated cardiomyopathy, lymphocytic myocarditis, forensic autopsy, infant, sudden death.

Full Text in PDF
© 2008-2019 Romanian Society of Legal Medicine. All rights reserved
created by cooz.ro