Non-infectious thrombotic endocarditis: a case report
A 48 year-old female patient, admitted with an ischemic stroke, had a transesophageal echocardiogram (TEE) that revealed a dense vegetation in the noncoronary aortic cusp, which was considered the probable source of embolism. The clinical investigation did not identify any other disease or infectiou...
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| Veröffentlicht in: | Revista portuguesa de cardiologia 2000-04, Vol.19 (4), p.483-486 |
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| container_title | Revista portuguesa de cardiologia |
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| creator | Martins, C Bento, L Pereira, H Dionísio, I Rosário, L de Oliveira, M Carrageta, M |
| description | A 48 year-old female patient, admitted with an ischemic stroke, had a transesophageal echocardiogram (TEE) that revealed a dense vegetation in the noncoronary aortic cusp, which was considered the probable source of embolism. The clinical investigation did not identify any other disease or infectious process. However the lack of histologic proof, the absence of fever, the fact that the blood cultures were persistently negative, the patient recovery with no need of antibiotics, and the results of the TEE, are highly suggestive of the presence of a non infectious thrombotic endocarditis. After 18 months of anti-platelet treatment, the patient showed no new embolic episodes and TEE demonstrated the resolution of the vegetation. |
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The clinical investigation did not identify any other disease or infectious process. However the lack of histologic proof, the absence of fever, the fact that the blood cultures were persistently negative, the patient recovery with no need of antibiotics, and the results of the TEE, are highly suggestive of the presence of a non infectious thrombotic endocarditis. 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After 18 months of anti-platelet treatment, the patient showed no new embolic episodes and TEE demonstrated the resolution of the vegetation.</description><subject>Echocardiography, Transesophageal</subject><subject>Endocarditis - complications</subject><subject>Endocarditis - diagnostic imaging</subject><subject>Female</subject><subject>Humans</subject><subject>Middle Aged</subject><subject>Stroke - complications</subject><subject>Stroke - diagnostic imaging</subject><subject>Thrombosis - complications</subject><subject>Thrombosis - diagnostic imaging</subject><issn>0870-2551</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1jz1PwzAYhD2AaFX6F1Amtkivv2M2VPElVbB0j_zxRhglcbDdgX9PJMotN9yj090V2UKnoWVS0g3Zl_IFqxRQw9UN2dA1FJ2QWyLf09zGeUBfYzqXpn7mNLlUo29wDsnbHGKN5aGxjbcFm4xLyvWWXA92LLi_-I6cnp9Oh9f2-PHydng8tosUsnVBcYTOMAlUQhckM0Fpw6lWygQ2GO0tdWARBQgtpTOKmiCg4zCAc5zvyP1f7ZLT9xlL7adYPI6jnXEd22vKmDZKreDdBTy7CUO_5DjZ_NP__-S_cj1MvQ</recordid><startdate>200004</startdate><enddate>200004</enddate><creator>Martins, C</creator><creator>Bento, L</creator><creator>Pereira, H</creator><creator>Dionísio, I</creator><creator>Rosário, L</creator><creator>de Oliveira, M</creator><creator>Carrageta, M</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>200004</creationdate><title>Non-infectious thrombotic endocarditis: a case report</title><author>Martins, C ; Bento, L ; Pereira, H ; Dionísio, I ; Rosário, L ; de Oliveira, M ; Carrageta, M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p545-bd63e0892501508d529d679317669d2f97ca1b0aee404755b9619d40830f0bb33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>por</language><creationdate>2000</creationdate><topic>Echocardiography, Transesophageal</topic><topic>Endocarditis - complications</topic><topic>Endocarditis - diagnostic imaging</topic><topic>Female</topic><topic>Humans</topic><topic>Middle Aged</topic><topic>Stroke - complications</topic><topic>Stroke - diagnostic imaging</topic><topic>Thrombosis - complications</topic><topic>Thrombosis - diagnostic imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Martins, C</creatorcontrib><creatorcontrib>Bento, L</creatorcontrib><creatorcontrib>Pereira, H</creatorcontrib><creatorcontrib>Dionísio, I</creatorcontrib><creatorcontrib>Rosário, L</creatorcontrib><creatorcontrib>de Oliveira, M</creatorcontrib><creatorcontrib>Carrageta, M</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>Revista portuguesa de cardiologia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Martins, C</au><au>Bento, L</au><au>Pereira, H</au><au>Dionísio, I</au><au>Rosário, L</au><au>de Oliveira, M</au><au>Carrageta, M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Non-infectious thrombotic endocarditis: a case report</atitle><jtitle>Revista portuguesa de cardiologia</jtitle><addtitle>Rev Port Cardiol</addtitle><date>2000-04</date><risdate>2000</risdate><volume>19</volume><issue>4</issue><spage>483</spage><epage>486</epage><pages>483-486</pages><issn>0870-2551</issn><abstract>A 48 year-old female patient, admitted with an ischemic stroke, had a transesophageal echocardiogram (TEE) that revealed a dense vegetation in the noncoronary aortic cusp, which was considered the probable source of embolism. 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| ispartof | Revista portuguesa de cardiologia, 2000-04, Vol.19 (4), p.483-486 |
| issn | 0870-2551 |
| language | por |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Echocardiography, Transesophageal Endocarditis - complications Endocarditis - diagnostic imaging Female Humans Middle Aged Stroke - complications Stroke - diagnostic imaging Thrombosis - complications Thrombosis - diagnostic imaging |
| title | Non-infectious thrombotic endocarditis: a case report |
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