Non-Bacterial Thrombotic Endocarditis in a Patient with Rheumatoid Arthritis

作者：Choi Jung Hye; Park Jeong Eun; Kim Jang Young; Kang Taeyoung^*

来源：Korean Circulation Journal, 2016, 46(3): 425-428.

DOI：10.4070/kcj.2016.46.3.425

• Endocarditis
• non-infective
• Arthritis
• rheumatoid
• Mitral valve

Rheumatoid arthritis (RA) is frequently associated with various extra-joint complications. Although rare, thromboembolic complications are associated with high morbidity and mortality. We experienced a very rare case of nonbacterial thrombotic endocarditis (NBTE) and subsequent embolic stroke in a patient with RA. A 72-year-old male with a 15-year history of RA suddenly developed neurologic symptoms of vomiting and dizziness. Brain magnetic resonance imaging revealed recently developed multiple cerebellar and cerebral lacunar infarctions. Echocardiography showed a pulsating mitral valve vegetation involving the posterior cusp of the mitral valve leaflet, which was confirmed as NBTE. Immediate anti-coagulation therapy was started. The NBTE lesion disappeared in follow-up echocardiography after 4 weeks of anti-coagulation treatment.

• 出版日期2016-5