Case 227. Viral myocarditis (31 y-o F)

　 　 　 　
　
Autopsied heart (500 g) in case of acute cardiac failure
 　
　 　 　 　

　

 　 High powered view discloses mononuclear infiltation and necrosis of cardiomyocytes. In such a fulminant and lethal myocarditis, serologic diagnosis is actually of no use. Enterovirus (Coxsackie virus) infection is suspected.