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JRSM Open. 2016 Nov 01;7(11):2054270416669304. doi: 10.1177/2054270416669304. eCollection 2016 Nov.

Rare and challenging case of stroke as a manifestation of non bacterial thrombotic endocarditis in an underlying ovarian clear cell carcinoma.

JRSM open

Vijayabharathy Kanthasamy, Indira Natarajan

Affiliations

  1. Department of Neurosciences, University Hospital of North Midlands, Stoke on Trent ST4 6QG, UK.

PMID: 27833758 PMCID: PMC5094302 DOI: 10.1177/2054270416669304

Abstract

Non bacterial thrombotic endocarditis presenting as a stroke is a rare presentation as a result of an underlying occult ovarian clear cell adenocarcinoma. Embolic events secondary to non bacterial thrombotic endocarditis are potentially a life-threatening condition if not diagnosed and treated promptly. High clinical suspicion for an underlying neoplasm is one of the key elements to be considered in the management of non bacterial thrombotic endocarditis. Systemic anticoagulation will treat as well as prevent further thromboembolic events.

Keywords: fever of unknown origin; non bacterial thrombotic endocarditis; ovarian clear cell carcinoma; stroke

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