[Cardiac involvement in diphtheria today in adults].
Postmortem morphological examination of 102 cases with diphtheria who had died on the disease day 1-120 was performed. All the dead patients were adults. Dystrophic-necrotic processes in cardiac conduction and intramural nervous systems, in contractile myocardium developing on the disease day 1-8 were found. The severity and extent of these processes depended on toxic and hypoxic factors resultant from obturation or ventilation respiratory failure. Myocarditis progression undergoes 2 stages: early, exudative (beginning on the disease day 3) and late, productive (beginning on the disease day 9). The disease eventuated in myocardiosclerosis starting after 28-day course. Morphologically, diphtheritic cardiac lesion differed from cardiac damage caused by other acute infections.
Kadyrov
S N
SN
Tsinzerling
V A
VA
Amineva
Kh K
KhK
Komarova
D V
DV
D000328:Adult; D001237:Asphyxia / Q000209:etiology / Q000473:pathology; D003141:Communicable Diseases / Q000473:pathology; D004165:Diphtheria / Q000150:complications* / Q000473:pathology; D005260:Female; D006651:Histocytochemistry; D006801:Humans; D008297:Male; D008875:Middle Aged; D009205:Myocarditis / Q000209:etiology* / Q000473:pathology; D009206:Myocardium / Q000378:metabolism / Q000473:pathology
Porazhenie serdtsa pri sovremennoĭ difterii u vzroslykh.