Title : Case report: Non-bacterial thrombotic endocarditis in an immunocompromised patient
Abstract:
We present a 62-year-old male with a past medical history of hypertension (HTN), coronary artery disease, human immunodeficiency virus, untreated lung adenocarcinoma, history of deep venous thrombosis, renal infarction, right popliteal artery thrombosis (treated with embolectomy on anticoagulation). Presented to the emergency department (ED) with sudden onset of right vision blurriness associated with a severe bilateral frontotemporal headache and left-sided pleuritic chest pain associated with shortness of breath. Found to be with multiple cardioembolic cerebral stroke, intraparenchymal hemorrhage and echocardiogram showing thickened mitral valve leaflets and a mass adherent to the posterior mitral leaflet which was new compared to previous imaging; infectious etiology was ruled out and given history of multiple thromboembolic events, patient was diagnosed with non-bacterial thrombotic endocarditis.
What will audience learn from your presentation?
- Definition of non-bacterial thrombotic endocarditis
- Awareness of clinical presentation of noninfectious pathologies in immunocompromised patients
- Management of non-bacterial thrombotic endocarditis