Neurologic disorder complicating a cervical cancer
A 47-year-old patient is admitted to the hospital for visual disorders and paresthesia on her left hemiface and her superior left limb. Symptoms appeared about a month before. The patient is currently under treatment for a non metastatic cervical adenocarcinoma, of stage IIIb according to FIGO. Furt...
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Veröffentlicht in: | Revue médicale de Bruxelles 2014-03, Vol.35 (2), p.72-77 |
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description | A 47-year-old patient is admitted to the hospital for visual disorders and paresthesia on her left hemiface and her superior left limb. Symptoms appeared about a month before. The patient is currently under treatment for a non metastatic cervical adenocarcinoma, of stage IIIb according to FIGO. Further exams show bilateral hypodense cerebral lesions of unknown origin despite many complementary tests, among which a transthoracic and transoesophageal echocardiography, autoimmune and infectious testings. During her hospitalisation, the patient's condition worsens on the neurologic and cardiac levels in spite of a wide-spectrum empirical antibiotherapy initiated with the presumed diagnosis of infectious endocarditis. The repetition of cardiac echocardiographies ends up showing a nodule on the mitral valve. The context of neoplasia, negative hemocultures and serologies, lead us to evoke the diagnostic of marantic endocarditis even though this kind of complication was rarely described in cases of cervical neoplasia. An anticoagulant treatment is therefore initiated and the patient's state will progressively improve, at least at first. |
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Symptoms appeared about a month before. The patient is currently under treatment for a non metastatic cervical adenocarcinoma, of stage IIIb according to FIGO. Further exams show bilateral hypodense cerebral lesions of unknown origin despite many complementary tests, among which a transthoracic and transoesophageal echocardiography, autoimmune and infectious testings. During her hospitalisation, the patient's condition worsens on the neurologic and cardiac levels in spite of a wide-spectrum empirical antibiotherapy initiated with the presumed diagnosis of infectious endocarditis. The repetition of cardiac echocardiographies ends up showing a nodule on the mitral valve. The context of neoplasia, negative hemocultures and serologies, lead us to evoke the diagnostic of marantic endocarditis even though this kind of complication was rarely described in cases of cervical neoplasia. An anticoagulant treatment is therefore initiated and the patient's state will progressively improve, at least at first.</description><identifier>ISSN: 0035-3639</identifier><identifier>PMID: 24908945</identifier><language>fre</language><publisher>Belgium</publisher><subject>Adenocarcinoma - complications ; Adenocarcinoma - diagnosis ; Adenocarcinoma - pathology ; Endocarditis, Non-Infective - complications ; Endocarditis, Non-Infective - diagnosis ; Female ; Humans ; Magnetic Resonance Imaging ; Middle Aged ; Paresthesia - complications ; Paresthesia - diagnosis ; Uterine Cervical Neoplasms - complications ; Uterine Cervical Neoplasms - diagnosis ; Uterine Cervical Neoplasms - pathology</subject><ispartof>Revue médicale de Bruxelles, 2014-03, Vol.35 (2), p.72-77</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24908945$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hottois, E</creatorcontrib><creatorcontrib>Weichselbaum, L</creatorcontrib><creatorcontrib>Guérisse, F</creatorcontrib><creatorcontrib>Doriath, V</creatorcontrib><title>Neurologic disorder complicating a cervical cancer</title><title>Revue médicale de Bruxelles</title><addtitle>Rev Med Brux</addtitle><description>A 47-year-old patient is admitted to the hospital for visual disorders and paresthesia on her left hemiface and her superior left limb. Symptoms appeared about a month before. The patient is currently under treatment for a non metastatic cervical adenocarcinoma, of stage IIIb according to FIGO. Further exams show bilateral hypodense cerebral lesions of unknown origin despite many complementary tests, among which a transthoracic and transoesophageal echocardiography, autoimmune and infectious testings. During her hospitalisation, the patient's condition worsens on the neurologic and cardiac levels in spite of a wide-spectrum empirical antibiotherapy initiated with the presumed diagnosis of infectious endocarditis. The repetition of cardiac echocardiographies ends up showing a nodule on the mitral valve. The context of neoplasia, negative hemocultures and serologies, lead us to evoke the diagnostic of marantic endocarditis even though this kind of complication was rarely described in cases of cervical neoplasia. An anticoagulant treatment is therefore initiated and the patient's state will progressively improve, at least at first.</description><subject>Adenocarcinoma - complications</subject><subject>Adenocarcinoma - diagnosis</subject><subject>Adenocarcinoma - pathology</subject><subject>Endocarditis, Non-Infective - complications</subject><subject>Endocarditis, Non-Infective - diagnosis</subject><subject>Female</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging</subject><subject>Middle Aged</subject><subject>Paresthesia - complications</subject><subject>Paresthesia - diagnosis</subject><subject>Uterine Cervical Neoplasms - complications</subject><subject>Uterine Cervical Neoplasms - diagnosis</subject><subject>Uterine Cervical Neoplasms - pathology</subject><issn>0035-3639</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1T01rwzAU82FjLV3_wshxl4CT5_fqHEfZF5Tu0ntwnp3i4cSZ3Qz27xdYp4skJAS6EWspAUsgaFZim_OnXEBYocQ7sapVI3WjcC3qo5tTDPHsubA-x2RdKjgOU_BsLn48F6Zgl74XFwo246LvxW1vQnbbK2_E6eX5tH8rDx-v7_unQzkhYVmpHfd1zywdVSSBkKE2tbakoSMCubMN1NhZxiVldkRaGTCIDUnWFWzE49_slOLX7PKlHXxmF4IZXZxzWyEoRYRaL9WHa3XuBmfbKfnBpJ_2_yb8Aic4TG0</recordid><startdate>201403</startdate><enddate>201403</enddate><creator>Hottois, E</creator><creator>Weichselbaum, L</creator><creator>Guérisse, F</creator><creator>Doriath, V</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201403</creationdate><title>Neurologic disorder complicating a cervical cancer</title><author>Hottois, E ; Weichselbaum, L ; Guérisse, F ; Doriath, V</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p565-147cf2fcc0e6160365c32a28d683b66307d9325bdc5603cce6684a3a55960c813</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>fre</language><creationdate>2014</creationdate><topic>Adenocarcinoma - complications</topic><topic>Adenocarcinoma - diagnosis</topic><topic>Adenocarcinoma - pathology</topic><topic>Endocarditis, Non-Infective - complications</topic><topic>Endocarditis, Non-Infective - diagnosis</topic><topic>Female</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging</topic><topic>Middle Aged</topic><topic>Paresthesia - complications</topic><topic>Paresthesia - diagnosis</topic><topic>Uterine Cervical Neoplasms - complications</topic><topic>Uterine Cervical Neoplasms - diagnosis</topic><topic>Uterine Cervical Neoplasms - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hottois, E</creatorcontrib><creatorcontrib>Weichselbaum, L</creatorcontrib><creatorcontrib>Guérisse, F</creatorcontrib><creatorcontrib>Doriath, V</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Revue médicale de Bruxelles</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hottois, E</au><au>Weichselbaum, L</au><au>Guérisse, F</au><au>Doriath, V</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Neurologic disorder complicating a cervical cancer</atitle><jtitle>Revue médicale de Bruxelles</jtitle><addtitle>Rev Med Brux</addtitle><date>2014-03</date><risdate>2014</risdate><volume>35</volume><issue>2</issue><spage>72</spage><epage>77</epage><pages>72-77</pages><issn>0035-3639</issn><abstract>A 47-year-old patient is admitted to the hospital for visual disorders and paresthesia on her left hemiface and her superior left limb. Symptoms appeared about a month before. The patient is currently under treatment for a non metastatic cervical adenocarcinoma, of stage IIIb according to FIGO. Further exams show bilateral hypodense cerebral lesions of unknown origin despite many complementary tests, among which a transthoracic and transoesophageal echocardiography, autoimmune and infectious testings. During her hospitalisation, the patient's condition worsens on the neurologic and cardiac levels in spite of a wide-spectrum empirical antibiotherapy initiated with the presumed diagnosis of infectious endocarditis. The repetition of cardiac echocardiographies ends up showing a nodule on the mitral valve. The context of neoplasia, negative hemocultures and serologies, lead us to evoke the diagnostic of marantic endocarditis even though this kind of complication was rarely described in cases of cervical neoplasia. An anticoagulant treatment is therefore initiated and the patient's state will progressively improve, at least at first.</abstract><cop>Belgium</cop><pmid>24908945</pmid><tpages>6</tpages></addata></record> |
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subjects | Adenocarcinoma - complications Adenocarcinoma - diagnosis Adenocarcinoma - pathology Endocarditis, Non-Infective - complications Endocarditis, Non-Infective - diagnosis Female Humans Magnetic Resonance Imaging Middle Aged Paresthesia - complications Paresthesia - diagnosis Uterine Cervical Neoplasms - complications Uterine Cervical Neoplasms - diagnosis Uterine Cervical Neoplasms - pathology |
title | Neurologic disorder complicating a cervical cancer |
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