A Case of Sarcoidosis in a Forensic Setting – What Has Been Found as Cause of Death
Journal
Acta Morphologica et Anthropologica
Date Issued
2025-06
Author(s)
Popova G
Abstract
Sarcoidosis is a multisystem inflammatory disease of unknown etiology with a particular
clinical and pathological picture. Pathologically can be confirmed with the finding of non-
caseating (non-necrotizing) granulomas containing epithelioid cells and large multinucleated
giant cells. Sarcoidosis is associated with an increased risk of premature death; it is twice as
high as the general population. The common cause of death includes: cardiac failure due to
cardiac sarcoidosis, lung disease associated with pulmonal hypertension, infection etc. In this
case presentation we show finding of another and not so common cause of cardiac death in a
patient with sarcoidosis i.e. bacterial myocarditis represented by clusters of bacterial colonies
throughout the myocardial tissue.
clinical and pathological picture. Pathologically can be confirmed with the finding of non-
caseating (non-necrotizing) granulomas containing epithelioid cells and large multinucleated
giant cells. Sarcoidosis is associated with an increased risk of premature death; it is twice as
high as the general population. The common cause of death includes: cardiac failure due to
cardiac sarcoidosis, lung disease associated with pulmonal hypertension, infection etc. In this
case presentation we show finding of another and not so common cause of cardiac death in a
patient with sarcoidosis i.e. bacterial myocarditis represented by clusters of bacterial colonies
throughout the myocardial tissue.
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