M642: Heart

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Clinical history : A 2 year old female with along history of heart failure and a case of gstro-enteritis 6 months ago after she had gone into heart failure.Coxsackie virus was isolated from the stool of the patient who presented with a typical pattern of myocarditis and died with signs of heart failure.
Autopsy findings : 1. Chronic myocarditis with endocardial thrmobosis which is sign of Coxsackie virus etiology.
2. Chronic venous congestion.
Diagnosis: Chronic viral myocarditis

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