Non-Bacterial Thrombotic Endocarditis in a Patient with Rheumatoid Arthritis
Korean Circulation Journal
;
: 425-428, 2016.
Article
Dans Anglais
| WPRIM
| ID: wpr-43720
ABSTRACT
Rheumatoid arthritis (RA) is frequently associated with various extra-joint complications. Although rare, thromboembolic complications are associated with high morbidity and mortality. We experienced a very rare case of nonbacterial thrombotic endocarditis (NBTE) and subsequent embolic stroke in a patient with RA. A 72-year-old male with a 15-year history of RA suddenly developed neurologic symptoms of vomiting and dizziness. Brain magnetic resonance imaging revealed recently developed multiple cerebellar and cerebral lacunar infarctions. Echocardiography showed a pulsating mitral valve vegetation involving the posterior cusp of the mitral valve leaflet, which was confirmed as NBTE. Immediate anti-coagulation therapy was started. The NBTE lesion disappeared in follow-up echocardiography after 4 weeks of anti-coagulation treatment.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Polyarthrite rhumatoïde
/
Vomissement
/
Encéphale
/
Imagerie par résonance magnétique
/
Échocardiographie
/
Études de suivi
/
Mortalité
/
Accident vasculaire cérébral
/
Sensation vertigineuse
/
Endocardite
Type d'étude:
Étude observationnelle
/
Étude pronostique
Limites du sujet:
Adulte très âgé
/
Humains
/
Mâle
langue:
Anglais
Texte intégral:
Korean Circulation Journal
Année:
2016
Type:
Article
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