Factors Associated with Non-Bacterial Thrombotic Endocarditis:
Case Report and Literature Review

Christos Eftychiou, Panagiotis Fanourgiakis, Evangelos Vryonis, Styliani Golfinopoulou, Michael Samarkos, Athanasios Kranidis1, Athanasios Skoutelis
Fifth Department of Internal Medicine, Evangelismos Hospital, Athens, 1First Department of Cardiology, Evangelismos Hospital, Athens, Greece

 

The case is reported of non-bacterial thrombotic endocarditis (NBTE) in a patient with giant cell arteritis and prostate cancer, and the relevant literature reviewed. To the present authors’ knowledge, this is the first case to be reported where NBTE coexists with both arteritis and cancer. NBTE is difficult to diagnose

if the underlying diseaseis accompanied by fever. If a diagnosis of probable infective endocarditis is established, the cultures and serology are negative, and there is no response to antibiotic treatment, then NBTE should be considered.

The Journal of Heart Valve Disease 2005;14:859-862

 
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