Journal of Nepal Medical Association (Nov 2021)

Mesothelioma with Nonbacterial Thrombotic Endocarditis: A Case Report

  • Avatar Verma,
  • Narendra Bhatta,
  • Deebya Raj Mishra,
  • Achyut Bhakta Acharya,
  • Rejina Shahi,
  • Sion Hangma LImbu,
  • Srijan Katuwal,
  • Urmila Lama

DOI
https://doi.org/10.31729/jnma.6841
Journal volume & issue
Vol. 59, no. 243

Abstract

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Non-bacterial thrombotic endocarditis is a rare condition characterized by noninfectious vegetation on cardiac valves which are often associated with malignancy. It often presents with features of embolism rather than cardiac failure. These are usually seen in autoimmune conditions, disseminated intravascular coagulation, malignancy of gut and lung but has also been reported in other malignancies as well. This entity is rare but one must have a clinical suspicion of the disease especially in a patient suffering from malignancy presenting with the embolic phenomenon. In this report, we are presenting a case of non-bacterial thrombotic endocarditis in an inpatient with pleural mesothelioma, a rare malignant neoplasm arising from pleura in a 35 years old mason, and a rare association as well.

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