Endocarditis trombótica no bacteriana y adenocarcinoma de endometrio

  1. Jorge Casal-Lorenzo 1
  2. César Barbolla-Sancho 1
  3. Paula Gargallo-Fernández 2
  4. Manuel Jesús Núñez-Fernández 3
  1. 1 Servicio de Medicina Interna. Complejo Hospitalario de Pontevedra. 2 Servicio de Cardiología. Complejo Hospitalario de Pontevedra.
  2. 2 Servicio de Cardiología. Complejo Hospitalario de Pontevedra.
  3. 3 Servicio de Medicina Interna. Complejo Hospitalario de Pontevedra. Servicio de Cardiología. Complejo Hospitalario de Pontevedra.
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Journal:
Galicia Clínica

ISSN: 0304-4866,  1989-3922

Year of publication: 2021

Volume: 82

Issue: 1

Pages: 45-47

Type: Article

DOI: 10.22546/60/2146 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Galicia Clínica

Abstract

We present a case of an 80-year-old woman with a history of deep vein thrombosis, treated with apixaban, which has a focal neurological clinic. Imaging tests show multiple arterial ischemic lesions in brain, kidneys and spleen, as well as suggestive imaging of uterine neoplasia. A biopsy after hysteroscopy confirms the diagnosis of endometrial adenocarcinoma. Transesophageal echocardiography shows vegetations in valves, with negative blood cultures. The diagnostic was non-bacterial thrombotic endocarditis related to cancer. The anticoagulant was changed to low molecular weight heparin, confirming the disappearance of vegetations

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