Misdiagnosis ofStreptococcus gallolyticusendocarditis.
Death certificate inaccuracy is of major concern both in the public health domain and in individual health care, since it may yield untruthful data on the incidence, prevalence, and lethality of medical entities, and may hamper prophylactic measures among those who share, with the deceased, the common genetic, environmental, or behavioral risk factors. An effective way to settle this haziness relies on the increase of autopsy performance, increasing manifold the exactitude as well as facing surprising diagnoses. In this report, the authors present the case of a middle-aged woman who sought medical care because of back pain accompanied by weight loss. She died suddenly and unexpectedly in the Emergency Room. In this case, due to the unusual clinical presentation and the patient's unexpected death, thecausa mortiswould not have been elucidated if the autopsy had not been undertaken.
Faculty of Medicine - Universidade Federal do Rio Grande do Sul, Porto Alegre/ RS - Brazil .
Rodrigo Tzovenos
RT
Starosta
Service of Surgical Pathology - Hospital de Clínicas de Porto Alegre - Universidade Federal do Rio Grande do Sul, Porto Alegre/RS - Brazil .
Raquel
R
Rivero
Service of Surgical Pathology - Hospital de Clínicas de Porto Alegre - Universidade Federal do Rio Grande do Sul, Porto Alegre/RS - Brazil .
Francine Hehn
FH
de Oliveira
Service of Surgical Pathology - Hospital de Clínicas de Porto Alegre - Universidade Federal do Rio Grande do Sul, Porto Alegre/RS - Brazil .
Eron
E
Lopes
Service of Surgical Pathology - Hospital de Clínicas de Porto Alegre - Universidade Federal do Rio Grande do Sul, Porto Alegre/RS - Brazil .
Marcelle Reesink
MR
Cerski
Endocarditis, Subacute Bacterial; Leriche Syndrome; Streptococcus