Sudden death due to granulomatous myocarditis: a case of sarcoidosis?
BACKGROUND
We report a case of sudden death due to granulomatous myocarditis and propose that cardiac sarcoid could have been the underlying aetiology. This is the first case reported in Singapore. The differential diagnoses for granulomatous myocarditis including sarcoidosis and its cardiac manifestations as well as idiopathic giant cell myocarditis are discussed.


METHODS
A 53-year-old Indian woman died suddenly and autopsy revealed bilateral hilar adenopathy and myocardial infiltrates which proved to be granulomatous in nature.


CONCLUSIONS
Sarcoidosis may not be a rarity here and it is important to recognise the different clinical manifestations.
Loh
A H L
AH
Department of Pathology, Singapore General Hospital, Outram Road, Singapore 169608. alwinloh@singnet.com.sg
Wee
K P
KP
D001344:Autopsy; D016757:Death, Sudden, Cardiac; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D005260:Female; D006101:Granuloma, Giant Cell / Q000175:diagnosis / Q000473:pathology*; D006801:Humans; D007150:Immunohistochemistry; D008875:Middle Aged; D009205:Myocarditis / Q000175:diagnosis / Q000473:pathology*; D012507:Sarcoidosis / Q000175:diagnosis / Q000473:pathology*