Non-bacterial thrombotic endocarditis with a negative transesophageal echocardiogram.
Non-bacterial thrombotic endocarditis is a recognised complication of malignancy (occurring in 0.3-9.3% of patients in autopsy series), and is most commonly associated with lung cancer. We describe a fatal case of non-bacterial thrombotic endocarditis associated with stage IIIB adenocarcinoma of the lung in which the transoesophageal echocardiogram was negative. Recommendations for management of such cases are given.
Frazer
Greg
G
ELEGI Colt Research Laboratories, University of Edinburgh, MRC/Centre for Inflammation Research, The Queen's Medical Research Institute, Edinburgh, United Kingdom. gfrazer@staffmail.ed.ac.uk
Laing
Richard
R
Lamont
Duncan
D
D002282:Adenocarcinoma, Bronchiolo-Alveolar / Q000150:complications* / Q000175:diagnosis; D003328:Coronary Thrombosis / Q000175:diagnosis* / Q000209:etiology*; D017548:Echocardiography, Transesophageal; D004696:Endocarditis / Q000175:diagnosis* / Q000209:etiology*; D017809:Fatal Outcome; D006801:Humans; D008175:Lung Neoplasms / Q000150:complications* / Q000175:diagnosis; D008297:Male; D008875:Middle Aged