Cardiac Pathology: Rheumatic heart disease: Subacute Infective Endocarditis
An autopsy specimen from a 40 year old man with a past history of rheumatic heart disease, who was admitted to hospital with irregular fever, malaise and mild anaemia. On examination he had tachycardia, heart murmurs, splenomegaly and as the disease progressed he developed petechiae in the skin and mucous membranes. Urinary examination revealed microscopic haematuria. He died after four weeks stay in the hospital and post mortem examination revealed infarcts in the spleen, kidneys and brain.