Non-Bacterial Thrombotic Endocarditis in a Patient with Rheumatoid Arthritis.
10.4070/kcj.2016.46.3.425
- Author:
Jung Hye CHOI
1
;
Jeong Eun PARK
;
Jang Young KIM
;
Taeyoung KANG
Author Information
1. Department of Rheumatology, Yonsei University Wonju College of Medicine, Wonju, Korea. taeyoung@yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
Endocarditis, non-infective;
Arthritis, rheumatoid;
Mitral valve
- MeSH:
Aged;
Arthritis, Rheumatoid*;
Brain;
Dizziness;
Echocardiography;
Endocarditis;
Endocarditis, Non-Infective*;
Follow-Up Studies;
Humans;
Magnetic Resonance Imaging;
Male;
Mitral Valve;
Mortality;
Neurologic Manifestations;
Stroke;
Stroke, Lacunar;
Vomiting
- From:Korean Circulation Journal
2016;46(3):425-428
- CountryRepublic of Korea
- Language:English
-
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.
