Details

Autor(en) / Beteiligte

• Shatila, Wassim
• Rizkallah, Alain
• Aldin, Ehab Saad
• Tfayli, Arafat

Titel

Nonbacterial thrombotic endocarditis as the sole manifestation of stage IV gastric cancer: a case report

Ist Teil von

• Journal of medical case reports, 2014-08, Vol.8 (1), p.267-267, Article 267

Ort / Verlag

England: BioMed Central Ltd

Erscheinungsjahr

2014

Link zum Volltext

Quelle

Free E-Journal (出版社公開部分のみ）

Beschreibungen/Notizen

• Nonbacterial thrombotic endocarditis is a very rare complication of malignancy and other hypercoagulable states. It describes the deposition of small sterile smooth or verrucoid vegetations on the valve leaflets, causing a clinical picture similar to that of bacterial endocarditis. The authors reported this case because this is a rare and unusual first manifestation of malignancy generally and of gastric cancer particularly, with only a few reports present in the literature. The authors present a case of a 36-year-old Caucasian male with occult gastric cancer whose first and only manifestation was nonbacterial thrombotic endocarditis causing extensive multi-organ infarctions. An endocarditis not responsive to antibiotics should raise the suspicion of an occult malignancy. Differentiating between an infective endocarditis and a nonbacterial thrombotic endocarditis will cause a radical change in the management which will eventually affect the patient's prognosis.