title: Fatal myocardial necrosis caused by Staphylococcus lugdunensis and cytomegalovirus in a patient with scleroderma.
abstract: A 42-year-old woman developed a rapidly progressing fatal heart failure. At the autopsy extensive necrosis of the myocardium was seen, with an almost complete absence of inflammatory cells and the presence of bacterial structures identified as Staphylococcus lugdunensis by PCR. In addition, the cytomegalovirus genome was found to be located inside the cardiomyocytes.
authors.affiliation: Department of Medicine, University of Turku, Turku, Finland.
authors.forename: Laura
authors.initials: L
authors.lastname: Pirilä
authors.forename: Karl-Ove
authors.initials: KO
authors.lastname: Söderström
authors.forename: Marja
authors.initials: M
authors.lastname: Hietarinta
authors.forename: Jari
authors.initials: J
authors.lastname: Jalava
authors.forename: Ville
authors.initials: V
authors.lastname: Kytö
authors.forename: Auli
authors.initials: A
authors.lastname: Toivanen
mesh_terms: D000328:Adult; D017675:CREST Syndrome / Q000150:complications*; D003587:Cytomegalovirus / Q000302:isolation & purification*; D003586:Cytomegalovirus Infections / Q000382:microbiology; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D032342:Muscle Cells / Q000382:microbiology / Q000821:virology; D009205:Myocarditis / Q000382:microbiology* / Q000821:virology*; D009206:Myocardium / Q000473:pathology; D009336:Necrosis; D013203:Staphylococcal Infections / Q000382:microbiology; D013210:Staphylococcus / Q000302:isolation & purification*