Recurrent nonbacterial thrombotic endocarditis and stroke on anticoagulation

被引：4

作者：

Basnet, Sijan ^{[1
]}

Stauffer, Thomas ^{[2
]}

Jayswal, Amar ^{[3
]}

Tharu, Biswaraj ^{[4
]}

机构：

[1] Reading Hosp Med Ctr, Dept Internal Med, W Reading, PA 19611 USA

[2] Reading Hosp Med Ctr, Dept Emergency Med, W Reading, PA 19611 USA

[3] Tribhuvan Univ, Dept Med, Teaching Hosp, Maharajgunj Med Campus, Kathmandu, Nepal

[4] Trumbull Reg Med Ctr, Dept Med, Warren, OH USA

来源：

JOURNAL OF COMMUNITY HOSPITAL INTERNAL MEDICINE PERSPECTIVES | 2020年 / 10卷 / 05期

关键词：

Nonbacterial thrombotic endocarditis; antiphospholipid syndrome; recurrent stroke; ANTIPHOSPHOLIPID SYNDROME;

D O I：

10.1080/20009666.2020.1791028

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We present a rare case of recurrent nonbacterial thrombotic endocarditis (NBTE) and stroke despite anticoagulation. A 48-year-old man with history of antiphospholipid syndrome, prior nonbacterial aortic valve endocarditis status post valve replacement and prior stroke was found to have acute ischemic stroke while on apixaban and nonbacterial thrombotic endocarditis of mitral valve. This was initially managed conservatively with therapeutic dose of enoxaparin, but the patient later underwent mitral valve replacement. Unfortunately, the patient later passed away with hemorrhagic stroke while on enoxaparin.

引用

页码：466 / 469

页数：4

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