Behind Recurrent Thromboembolic Events

  • Sara Lopes Guerreiro Hospital de Santa Cruz, Centro Hospitalar Lisboa Ocidental, Lisbon
  • Carolina Gouveia Hospital São Francisco Xavier, Centro Hospitalar Lisboa Ocidental, Lisbon
  • Rita Mora de Féria Hospital Prof. Dr. Fernando da Fonseca, Lisbon
  • Ana Lourenço Hospital São Francisco Xavier, Centro Hospitalar Lisboa Ocidental, Lisbon
  • Fátima Grenho Hospital São Francisco Xavier, Centro Hospitalar Lisboa Ocidental, Lisbon

Keywords

Marantic Endocarditis, Thromboembolism, Pancreatic Adenocarcinoma

Abstract

We describe the case of a 68-year-old man, who presented with an ischemic stroke due to cardiac embolization related to mitral valve endocarditis. Blood cultures were always negative and post-operative valve histology did not show microorganisms. The patient also presented further recurrent peripheral embolic events. These clinical aspects were the first sign of a pancreas adenocarcinoma, which was only diagnosed in the clinical autopsy. In conclusion, these clinical findings of recurrent thromboembolic events with no microorganisms isolated suggests the diagnostic of a marantic endocarditis.

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References

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Biller J, Challa VR, Toole JF et al. Nonbacterial thrombotic endocarditis. A neurologic perpective of clicopathologic correlations of 99 patients. Arch Neurol 1982;39:95-8.

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Mazokopakis EE, Syros PK, Starakis IK. Nonbacterial Thrombotic Endocarditis (Marantic Endocarditis) in Cancer Patients. Cardiovasc Hematol Disord Drug Targets 2010;10:84-6.

Published: 2016-09-28

Issue: Vol. 3 No. 6 (view)

Section: Articles

How to cite:
1.
Guerreiro SL, Gouveia C, Féria RM de, Lourenço A, Grenho F. Behind Recurrent Thromboembolic Events. EJCRIM [Internet]. 2016Sep.28 [cited 2020Sep.26];3(6). Available from: https://ejcrim.com/index.php/EJCRIM/article/view/413