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  • Title: [Myocardial and renal morphological changes in drug addicts with infective endocarditis].
    Author: Rybakova MG, Kapitul'skaia TB.
    Journal: Arkh Patol; 2009; 71(1):30-3. PubMed ID: 19514356.
    Abstract:
    The autopsy specimens of the myocardium and kidneys from 233 patients with infective endocarditis (142 and 91 with and without a history of drug abuse, respectively) were studied by conventional microscopy and immunohistochemistry. In the drug abusers (DA), myocytolysis was a dominant form of myocardial damage and in the non-DA that was contraction degeneration. In DA, lower cardiomyocytic cl-2 expression arouses speculations on the possible role of apoptosis in the pathogenesis of heart failure in this group of patients. Membranous glomerulopathy was a hallmark of renal pathology in DA, contrasting with the predominance of mesangial lesions in non-DA. Increased CIC deposition may be regarded as a major contributing factor.
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