PMC6735643_01
- EKG showing sinus rhythm, heart rate= 136 bpm, PR interval 0,10 ms, SAP axis +60 , SAQRS axis +60 , diffuse upsloping ST segment elevation seen best here in leads I, II, aVF, and V2 to V6, There is also subtle PR segment deviation (positive in aVR, negative in I, II, III, aVF and V3 to V6).
autopsy-02-01049-g01.jpg
PMC6735643_01_autopsy-02-01049-g01.jpg
g01
The electrocardiogram revealed the presence of sinus tachycardia, PR segment deviation and upsloping ST segment elevation (Figure 1).
- Photomicrography (HE 400X) - fragment of pericardial tissue - presence of acute exudate with fibrin, polymorphonuclear leukocytes and reactive mesothelial hyperplasia - Acute fibrinous pericarditis.
autopsy-02-01049-g02.jpg
PMC6735643_01_autopsy-02-01049-g02.jpg
g02
The pathological report was consistent with acute fibrinous pericarditis (Figure 2).
- Axial computed tomography of the pelvis showing increased volume of the gluteus muscles due to edema and hypoatenuating lesions compatible with abscess.
autopsy-02-01049-g03.jpg
PMC6735643_01_autopsy-02-01049-g03.jpg
g03
Computed axial tomography of the lower limbs identified multiple hypoatenuating images compatible with abscesses involving the muscles: gluteus maximus, gluteus medius (Figure 3) as well as the muscles: biceps femoris, sartorius, rectus femuris, vastus lateralis, vastus medialis some of them bilaterally (Figure 4).
- Computed Tomography of the lower limbs - coronal plane. A - image compatible with abscess in the right muscle biceps femoris; B - involvement of the muscles rectus femoris and vastus lateralis (mainly on the right side); C and D - involvement of muscles: vastus medialis and vastus lateralis bilaterally.
autopsy-02-01049-g04.jpg
PMC6735643_01_autopsy-02-01049-g04.jpg
g04
Computed axial tomography of the lower limbs identified multiple hypoatenuating images compatible with abscesses involving the muscles: gluteus maximus, gluteus medius (Figure 3) as well as the muscles: biceps femoris, sartorius, rectus femuris, vastus lateralis, vastus medialis some of them bilaterally (Figure 4).