Nonbacterial thrombotic endocarditis in a child with non-Hodgkin's lymphoma.
The diagnosis of nonbacterial thrombotic endocarditis (NTBE) is rarely made during life. This report describes a child who had high-grade non-Hodgkin's lymphoma with NTBE and multiple systemic embolism. The transthoracic echocardiographic findings of mitral valve leaflet vegetations and progressive regurgitation led to surgical resection of the vegetations. A high index of suspicion is needed when a clinician is faced with a patient who has malignancy, systemic embolic phenomena, and persistent negative blood cultures.
Department of Cardiology, Royal Children's Hospital, Flemington Road, Parkville, VIC 3052, Australia. drnorliza@yahoo.com
Norliza
N
Ali
Igor
I
Konstantinov
John A
JA
Heath
Krishna
K
Bhagwat
Michael
M
Cheung
D002648:Child; D003937:Diagnosis, Differential; D004452:Echocardiography; D059905:Endocarditis, Non-Infective / Q000175:diagnosis* / Q000601:surgery; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008228:Lymphoma, Non-Hodgkin / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed