{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T12:08:36Z","timestamp":1777896516786,"version":"3.51.4"},"reference-count":6,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2024,5,1]],"date-time":"2024-05-01T00:00:00Z","timestamp":1714521600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Med Leg J"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:p>Acute rheumatic fever-related acquired heart disease in children and young adults is a worldwide issue, but it poses a serious public health threat in developing nations like India. We present a case report of a young adult who collapsed suddenly during a routine walk and was declared dead in an emergency ward on arrival. There was no significant past medical history. On autopsy, massive cardiomegaly and a \u201cbutter and bread\u201d appearance of the pericardium, along with findings suggestive of mitral stenosis and aortic regurgitation, raised suspicion about rheumatic heart disease. Rheumatic carditis was confirmed by a microscopic examination that showed Aschoff bodies in the left ventricle, mitral valve and interventricular septum, in addition to uncommon Anitschkow cells in the left ventricle. A sudden death due to undiagnosed rheumatic carditis causing such massive cardiomegaly is rare. This case highlights the need to keep rheumatic carditis as a cause of sudden death.<\/jats:p>","DOI":"10.1177\/00258172241230207","type":"journal-article","created":{"date-parts":[[2024,5,1]],"date-time":"2024-05-01T03:54:20Z","timestamp":1714535660000},"page":"143-146","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Undiagnosed rheumatic carditis causing sudden death in a young adult: A case report and review"],"prefix":"10.1177","volume":"93","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9120-1569","authenticated-orcid":false,"given":"Bajrang K","family":"Singh","sequence":"first","affiliation":[{"name":"Department of Forensic Medicine &amp; Toxicology, MGM Medical College, Indore, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jitendra S","family":"Tomar","sequence":"additional","affiliation":[{"name":"Department of Forensic Medicine &amp; Toxicology, MGM Medical College, Indore, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ravi","family":"Jain","sequence":"additional","affiliation":[{"name":"Department of Pathology, MGM Medical College, Indore, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Surya","family":"Prakash","sequence":"additional","affiliation":[{"name":"Department of Forensic Medicine &amp; Toxicology, MGM Medical College, Indore, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suyasha","family":"Narayan","sequence":"additional","affiliation":[{"name":"Department of Pathology, MGM Medical College, Indore, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,5]]},"reference":[{"key":"e_1_3_9_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00428-017-2221-0"},{"key":"e_1_3_9_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/ajhb.1310060402"},{"key":"e_1_3_9_4_2","unstructured":"NuoNuo Medical Informatics. Heart: Native cardiac valve \u2013 Essential pathology. In: E-manual for specimen gross examination in surgical pathology 4th ed http:\/\/www.essentialpathology.info\/gross_manual\/Index.html?GuidelineAndProcedure17 (accessed 31 December 2023.)"},{"key":"e_1_3_9_5_2","doi-asserted-by":"publisher","DOI":"10.4103\/2321-449X.172360"},{"key":"e_1_3_9_6_2","doi-asserted-by":"publisher","DOI":"10.1002\/clc.4960150413"},{"key":"e_1_3_9_7_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1992.03490150121036"}],"container-title":["Medico-Legal Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00258172241230207","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00258172241230207","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00258172241230207","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T08:29:08Z","timestamp":1777624148000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00258172241230207"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5]]},"references-count":6,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,9]]}},"alternative-id":["10.1177\/00258172241230207"],"URL":"https:\/\/doi.org\/10.1177\/00258172241230207","relation":{},"ISSN":["0025-8172","2042-1834"],"issn-type":[{"value":"0025-8172","type":"print"},{"value":"2042-1834","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5]]}}}