title: An autopsy case of infectious endocarditis in a methamphetamine abuser usefulness of microbiological examination.
abstract: We present here a case of sepsis due to infectious endocarditis in a methamphetamine abuser. A 32 year-old male presented high fever and abdominal pain last two weeks. He was admitted to the hospital on the diagnosis of infectious endocarditis. In the evening on the day of admission, he suddenly collapsed. Despite of cardiopulmonary resuscitation, his death was confirmed. From the autopsy findings, toxicological analysis and results of the microbiological examination, we concluded that the cause of death was septic shock due to infectious endocarditis, presumably based on the methamphetamine abuse. The result obtained from microbiological examination gave us useful information. We shall have to be on the lookout, not only for acute poisoning, but also for cases of drug abuse related deaths.
authors.affiliation: Department of Legal Medicine, Hyogo College of Medicine, Nishinomiya, Hyogo, 663-8501, Japan. kinochin@hyo-med.ac.jp
authors.forename: Kinoshita
authors.initials: K
authors.lastname: Hiroshi
authors.forename: Kubota
authors.initials: K
authors.lastname: Akira
authors.forename: Nishiguchi
authors.initials: N
authors.lastname: Minori
authors.forename: Ouchi
authors.initials: O
authors.lastname: Harumi
authors.forename: Minami
authors.initials: M
authors.lastname: Takako
authors.forename: Yamamura
authors.initials: Y
authors.lastname: Takehiko
authors.forename: Utsumi
authors.initials: U
authors.lastname: Takao
authors.forename: Motomura
authors.initials: M
authors.lastname: Hiroyuki
authors.forename: Ameno
authors.initials: A
authors.lastname: Kiyoshi
authors.forename: Aoyama
authors.initials: A
authors.lastname: Kazue
authors.forename: Wada
authors.initials: W
authors.lastname: Yasunao
authors.forename: Hishida
authors.initials: H
authors.lastname: Shigeru
mesh_terms: D000328:Adult; D019969:Amphetamine-Related Disorders / Q000150:complications* / Q000382:microbiology; D004697:Endocarditis, Bacterial / Q000150:complications / Q000473:pathology*; D006801:Humans; D008297:Male; D008694:Methamphetamine; D009206:Myocardium / Q000473:pathology; D012772:Shock, Septic / Q000209:etiology; D013290:Streptococcal Infections / Q000473:pathology
chemical_list: D008694:Methamphetamine