科研之友
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摘要
nonbacterial thrombotic endocarditis (nbte) is a rare cause of peripheral embolism. nbte is usually associated with malignant diseases and hipercoagulability states. echocardiography is a very useful technique for the diagnosis. however valvular lesions in nbte are similar to valvular vegetations observed from infectious endocarditis (ie), so it∩s necessary to establish a differential diagnosis. the treatment of thrombotic endocarditis is controversial, but the literature coincides in the use of intravenous heparin. we describe the case of a 42 years old woman with stroke in which transesophageal echocardiography (tee) was useful in establishing the diagnosis of nbte. the infectious origin was excluded with the realization of a exhaustive microbiologic study. in the search of causes for nbte a lung adenocarcinoma was detected. in the present case the diagnosis of endocarditis preceded the neoplastic disease diagnosis.
