Clinical case analysis: fever thrombus space-occupying lesion in right ventricle

VernacularTitle:临床病例评析——发热　血栓　右心室占位
Author: Hui WEI ¹ ; Jinxia ZHAO ; Zhonqiang YAO ; Song WU ; Meng WANG ; Xiang ZHU ; Rong MU
Author Information

1. 北京大学第三医院风湿免疫科，北京　100191
Publication Type:Journal Article
Keywords: Fever; Thrombosis; Space-occupying lesion in right ventricle; Beh?et′s syndrome
From: Chinese Journal of Rheumatology 2025;29(11):946-950
CountryChina
Language:Chinese
Abstract: Objective:To improve the awareness of Beh?et′s disease with ventricular neoplasm.Methods:A case with fever, thrombosis, and right ventricular neoplasm was described. The diagnosis and treatment were analyzed and discussed.Results:A young male with genital ulcers and oral ulcers, ocular, skin, and vascular lesions presenting as large venous thrombus, was diagnosed with Beh?et′s disease. Pathological results of space-occupying lesion in right ventricle revealed inflammation and necrotic substance. Endocarditis was considered. Glucocorticoids and cyclophosphamide was given, together with warfarin. During one-year follow-up, the patient remained stable.Conclusion:It is difficult to distinguish between Beh?et′s disease with cardiac neoplasm and infective endocarditis or cardiac tumor based on clinical manifestations and imaging only. Multidisciplinary management is a valuable approach for the diagnosis and treatment.