[Non-bacterial thrombotic endocarditis. Report of one case]. / Endocarditis marántica como presentación de cáncer de páncreas. Caso clínico.
Rev Med Chil
; 145(10): 1353-1358, 2017 Oct.
Article
em Es
| MEDLINE
| ID: mdl-29488578
ABSTRACT
Marantic or nonbacterial thrombotic endocarditis is characterized for the presence of vegetations formed by a meshwork of fibrin and other cellular material similar a blood clot, without the presence of microorganisms. It is often related with tumors and chronic inflammatory states. We report a 49 years old female with a history of weight loss and asthenia, presenting with multiple cerebrovascular attacks and fever. Blood cultures were negative and the fever did not subside with antibiotic treatment. Trans esophageal echocardiogram showed a mitral valve vegetation and thickening of the free edge of both leaflets. In search of the etiology of such a case, a primary pancreatic cancer with distant metastases was found. We cannot rule out the differential diagnosis with bacterial endocarditis with negative blood cultures, although the clinical context supports a non-infectious etiology.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Endocardite não Infecciosa
Tipo de estudo:
Diagnostic_studies
Limite:
Female
/
Humans
/
Middle aged
Idioma:
Es
Revista:
Rev Med Chil
Ano de publicação:
2017
Tipo de documento:
Article
País de afiliação:
Chile