Nonbacterial thrombotic endocarditis
An 83-year-old woman with a 10-year history of rheumatoid arthritis was admitted for urinary tract infection with exacerbation of chronic kidney disease and decompensated heart failure of unknown etiology. Transesophageal echocardiography (TEE) showed a vegetation involving the posterior mitral valv...
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| Veröffentlicht in: | Revista portuguesa de cardiologia 2019-07, Vol.38 (7), p.511 |
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| container_title | Revista portuguesa de cardiologia |
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| creator | Durães Campos, Isabel Marques, Ana Rita Sousa, Luciana Fonseca, Sara Oliveira, Cátia Vieira, Catarina Apolinário, Isabel Brandão, Ilídio |
| description | An 83-year-old woman with a 10-year history of rheumatoid arthritis was admitted for urinary tract infection with exacerbation of chronic kidney disease and decompensated heart failure of unknown etiology. Transesophageal echocardiography (TEE) showed a vegetation involving the posterior mitral valve leaflet, and a hypothesis of infective endocarditis was proposed. Empirical antibiotic therapy was initiated. TEE was repeated after antibiotic therapy, and showed persistence of the original vegetation and revealed the presence of another, smaller vegetation. Clinical investigation revealed no infectious process, and so a diagnosis of nonbacterial thrombotic endocarditis (NBTE) was established. Anticoagulant therapy was started immediately. The NBTE lesion had disappeared on the follow-up echocardiogram two months after anticoagulant therapy. |
| doi_str_mv | 10.1016/j.repc.2018.05.021 |
| format | Article |
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Transesophageal echocardiography (TEE) showed a vegetation involving the posterior mitral valve leaflet, and a hypothesis of infective endocarditis was proposed. Empirical antibiotic therapy was initiated. TEE was repeated after antibiotic therapy, and showed persistence of the original vegetation and revealed the presence of another, smaller vegetation. Clinical investigation revealed no infectious process, and so a diagnosis of nonbacterial thrombotic endocarditis (NBTE) was established. Anticoagulant therapy was started immediately. The NBTE lesion had disappeared on the follow-up echocardiogram two months after anticoagulant therapy.</description><identifier>EISSN: 2174-2030</identifier><identifier>DOI: 10.1016/j.repc.2018.05.021</identifier><identifier>PMID: 31522938</identifier><language>eng</language><publisher>Portugal</publisher><subject>Aged, 80 and over ; Echocardiography, Transesophageal ; Endocarditis, Non-Infective - complications ; Endocarditis, Non-Infective - diagnosis ; Female ; Heart Diseases - diagnosis ; Heart Diseases - etiology ; Heart Ventricles ; Humans ; Thrombosis - diagnosis ; Thrombosis - etiology</subject><ispartof>Revista portuguesa de cardiologia, 2019-07, Vol.38 (7), p.511</ispartof><rights>Copyright © 2019 Sociedade Portuguesa de Cardiologia. Publicado por Elsevier España, S.L.U. 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Transesophageal echocardiography (TEE) showed a vegetation involving the posterior mitral valve leaflet, and a hypothesis of infective endocarditis was proposed. Empirical antibiotic therapy was initiated. TEE was repeated after antibiotic therapy, and showed persistence of the original vegetation and revealed the presence of another, smaller vegetation. Clinical investigation revealed no infectious process, and so a diagnosis of nonbacterial thrombotic endocarditis (NBTE) was established. Anticoagulant therapy was started immediately. The NBTE lesion had disappeared on the follow-up echocardiogram two months after anticoagulant therapy.</description><subject>Aged, 80 and over</subject><subject>Echocardiography, Transesophageal</subject><subject>Endocarditis, Non-Infective - complications</subject><subject>Endocarditis, Non-Infective - diagnosis</subject><subject>Female</subject><subject>Heart Diseases - diagnosis</subject><subject>Heart Diseases - etiology</subject><subject>Heart Ventricles</subject><subject>Humans</subject><subject>Thrombosis - diagnosis</subject><subject>Thrombosis - etiology</subject><issn>2174-2030</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1jstKAzEUQIMgttT-gAvpwu3Ee3OTTLKU4guKbroveWJKpzNk4sK_V1DP5uwOh7EbBI6A-v7Ia5oCF4CGg-Ig8IItBfayE0CwYOt5PsIPGtCSvmILQiWEJbNkd2_j2bvQUi3utGkfdRz82ErYpHMcg6uxtDJfs8vsTnNa_3nF9k-P--1Lt3t_ft0-7LrJUuuUkZEyJfLGGJRgUFOvSeQ-xJijdk7o7HM2mF30xvY62aSjlUIq1aOiFbv9zU6ffkjxMNUyuPp1-L-lbxu3QNM</recordid><startdate>201907</startdate><enddate>201907</enddate><creator>Durães Campos, Isabel</creator><creator>Marques, Ana Rita</creator><creator>Sousa, Luciana</creator><creator>Fonseca, Sara</creator><creator>Oliveira, Cátia</creator><creator>Vieira, Catarina</creator><creator>Apolinário, Isabel</creator><creator>Brandão, Ilídio</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope></search><sort><creationdate>201907</creationdate><title>Nonbacterial thrombotic endocarditis</title><author>Durães Campos, Isabel ; Marques, Ana Rita ; Sousa, Luciana ; Fonseca, Sara ; Oliveira, Cátia ; Vieira, Catarina ; Apolinário, Isabel ; Brandão, Ilídio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p93t-584d3f3e3b88814081637632f7cddfd6aa26fbff81fadb8976e9e6d9424557153</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Aged, 80 and over</topic><topic>Echocardiography, Transesophageal</topic><topic>Endocarditis, Non-Infective - complications</topic><topic>Endocarditis, Non-Infective - diagnosis</topic><topic>Female</topic><topic>Heart Diseases - diagnosis</topic><topic>Heart Diseases - etiology</topic><topic>Heart Ventricles</topic><topic>Humans</topic><topic>Thrombosis - diagnosis</topic><topic>Thrombosis - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Durães Campos, Isabel</creatorcontrib><creatorcontrib>Marques, Ana Rita</creatorcontrib><creatorcontrib>Sousa, Luciana</creatorcontrib><creatorcontrib>Fonseca, Sara</creatorcontrib><creatorcontrib>Oliveira, Cátia</creatorcontrib><creatorcontrib>Vieira, Catarina</creatorcontrib><creatorcontrib>Apolinário, Isabel</creatorcontrib><creatorcontrib>Brandão, Ilídio</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><jtitle>Revista portuguesa de cardiologia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Durães Campos, Isabel</au><au>Marques, Ana Rita</au><au>Sousa, Luciana</au><au>Fonseca, Sara</au><au>Oliveira, Cátia</au><au>Vieira, Catarina</au><au>Apolinário, Isabel</au><au>Brandão, Ilídio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nonbacterial thrombotic endocarditis</atitle><jtitle>Revista portuguesa de cardiologia</jtitle><addtitle>Rev Port Cardiol</addtitle><date>2019-07</date><risdate>2019</risdate><volume>38</volume><issue>7</issue><spage>511</spage><pages>511-</pages><eissn>2174-2030</eissn><abstract>An 83-year-old woman with a 10-year history of rheumatoid arthritis was admitted for urinary tract infection with exacerbation of chronic kidney disease and decompensated heart failure of unknown etiology. 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| fulltext | fulltext |
| identifier | EISSN: 2174-2030 |
| ispartof | Revista portuguesa de cardiologia, 2019-07, Vol.38 (7), p.511 |
| issn | 2174-2030 |
| language | eng |
| recordid | cdi_pubmed_primary_31522938 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Aged, 80 and over Echocardiography, Transesophageal Endocarditis, Non-Infective - complications Endocarditis, Non-Infective - diagnosis Female Heart Diseases - diagnosis Heart Diseases - etiology Heart Ventricles Humans Thrombosis - diagnosis Thrombosis - etiology |
| title | Nonbacterial thrombotic endocarditis |
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