Endocarditis trombótica no bacteriana y adenocarcinoma de endometrio
- Jorge Casal-Lorenzo 1
- César Barbolla-Sancho 1
- Paula Gargallo-Fernández 2
- Manuel Jesús Núñez-Fernández 3
- 1 Servicio de Medicina Interna. Complejo Hospitalario de Pontevedra. 2 Servicio de Cardiología. Complejo Hospitalario de Pontevedra.
- 2 Servicio de Cardiología. Complejo Hospitalario de Pontevedra.
- 3 Servicio de Medicina Interna. Complejo Hospitalario de Pontevedra. Servicio de Cardiología. Complejo Hospitalario de Pontevedra.
ISSN: 0304-4866, 1989-3922
Ano de publicación: 2021
Volume: 82
Número: 1
Páxinas: 45-47
Tipo: Artigo
Outras publicacións en: Galicia Clínica
Resumo
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