Recurrent nonbacterial thrombotic endocarditis and stroke on anticoagulation.

Authors

Sijan Basnet, Tower Health - Reading HospitalFollow
Thomas Stauffer, Tower Health - Reading HospitalFollow
Amar Jayswal
Biswaraj Tharu

Document Type

Article

Publication Date

9-3-2020

Abstract

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.

Publication Title

J Community Hosp Intern Med Perspect

Volume

10

Issue

5

First Page

466

Last Page

469

Recommended Citation

Basnet, S., Stauffer, T., Jayswal, A., & Tharu, B. (2020). Recurrent nonbacterial thrombotic endocarditis and stroke on anticoagulation.. J Community Hosp Intern Med Perspect, 10 (5), 466-469. Retrieved from https://scholarcommons.towerhealth.org/gme_int_med_resident_program_read/577