Antemortem diagnosis of nonbacterial thrombotic endocarditis in a patient with previously resected pancreatic adenocarcinoma: a case report
| Autor: | Hamza Zahid Ullah Muhammadzai, Haissam Haddad, J. Shavadia, Udoka Okpalauwaekwe |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Palliative care Case Reports Chest pain Malignancy Nonbacterial thrombotic endocarditis Hypercoagulability 03 medical and health sciences 0302 clinical medicine Systemic embolization Case report Biopsy medicine AcademicSubjects/MED00200 medicine.diagnostic_test business.industry Antemortem Diagnosis Metastatic Pancreatic Adenocarcinoma medicine.disease Adenocarcinoma 030211 gastroenterology & hepatology Other Radiology medicine.symptom Cardiology and Cardiovascular Medicine business Pancreatic adenocarcinoma 030217 neurology & neurosurgery |
| Zdroj: | European Heart Journal: Case Reports |
| ISSN: | 2514-2119 |
| Popis: | Background Nonbacterial thrombotic endocarditis (NBTE) is a rare manifestation of a number of systemic diseases, which include advanced malignancy and hypercoagulable states. Case summary We present a 67-year-old woman who had presented with chest pain and heart failure. Eight years ago, she had a successful Whipple resection for pancreatic adenocarcinoma. Echocardiography revealed mitral valve vegetations with negative blood cultures. She had multiple infarcts in the kidney, spleen, and brain. She was found to have a mass in the left 8th rib, consistent with metastatic pancreatic adenocarcinoma on biopsy. Ultimately, a diagnosis of NBTE was made after excluding other causes for her presentation. Because of her general poor condition, she expressed the wish for palliative care and later died 28 days after presentation. Discussion This case illustrates the possibility of NBTE in patients successfully treated for pancreatic adenocarcinoma and highlights the consideration of this relatively rare differential in patients with a previously treated malignancy presenting with heart failure. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|