August 2025 Br J Cardiol 2025;32:118–20 doi:10.5837/bjc.2025.038
Sriya Prakash Nair, Michael Benedict Connolly
Introduction Sarcoidosis is a multisystemic, granulomatous disease of unknown aetiology, frequently manifesting as a mild or even asymptomatic pulmonary disease.1 Cardiac sarcoidosis is the second most common cause of death in sarcoidosis patients globally and the first among Japanese sarcoidosis patients.1 The pathology consists of granulomatous inflammation of the pericardium, myocardium and endocardium with patchy, multifocal involvement. Several infectious organisms have been suggested as possible agents in the aetiology of sarcoidosis, although Propionibacterium acnes (P. acnes) is the only microorganism to be isolated from sarcoid lesio
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