[Non-bacterial thrombotic endocarditis. Report of one case].

Autor:	Salinas G A; Departamento de Medicina Interna, Universidad de La Frontera, Temuco, Chile., Bustamante H L; Departamento de Medicina Interna, Universidad de La Frontera, Temuco, Chile., Lanas Z F; Departamento de Medicina Interna, Universidad de La Frontera, Temuco, Chile., Soto V A; Unidad de Neurología, Hospital Dr. Hernán Henríquez Aravena, Temuco, Chile., García B MA; Departamento de Medicina Interna, Universidad de La Frontera, Temuco, Chile., Bartolotti H C; Departamento de Medicina Interna, Universidad de La Frontera, Temuco, Chile.
Jazyk:	Spanish; Castilian
Zdroj:	Revista medica de Chile [Rev Med Chil] 2017 Oct; Vol. 145 (10), pp. 1353-1358.
DOI:	10.4067/S0034-98872017001001353
Abstrakt:	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.
Databáze:	MEDLINE
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