
Nonbacterial Thrombotic Endocarditis Related to Adenocarcinoma of the Uterine Cervix
Author(s) -
Kijpaisalrataruchorn,
Chutinet Aurauma,
Travanichakul Suporn,
Kitjawijit Teeraparp,
Yokumporn Pajaree,
Duangjino Kotchakorn,
Suwanwela Nijasri C.
Publication year - 2020
Publication title -
case reports in neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.207
H-Index - 15
ISSN - 1662-680X
DOI - 10.1159/000507277
Subject(s) - brain and heart
We report a 66-year-old female patient who presented with acute onset of visual loss with relative afferent pupillary defect, hemineglect, hemihypesthesia, and apraxia. Magnetic resonance imaging of the brain demonstrated different stages of ischemic stroke in different vascular territories, suggesting cardiogenic embolism. Past history was significant for advanced-stage adenocarcinoma of the uterine cervix under chemoradiation treatment. On echocardiogram, vegetation at the aortic valve was observed. With the absence of evidence of infectious endocarditis, diagnosis of nonbacterial thrombotic endocarditis was made, and the patient was treated by long-term anticoagulant. This case is unique in terms of the adenocarcinoma cell type of cervical cancer, which is uncommon and has been rarely reported to be related to nonbacterial thrombotic endocarditis.