Key result
A 60-year-old female presenting with stroke was diagnosed with non-bacterial thrombotic endocarditis secondary to an occult ovarian clear cell carcinoma, and successfully treated with anticoagulation and tumor resection.
Case Report (n=1)
Non-bacterial thrombotic endocarditis should be suspected in patients with stroke and multi-systemic embolization, prompting investigation for underlying malignancies like ovarian clear cell carcinoma.
Raises awareness of NBTE in stroke from occult ovarian cancer; leaves open systematic screening and management strategies.
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.
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Kanthasamy et al. (2016) conducted a case report in Stroke, non-bacterial thrombotic endocarditis, ovarian clear cell carcinoma (n=1). Thrombolysis, endovascular mechanical clot removal, anticoagulation, and tumor resection was evaluated on Clinical recovery and resolution of vegetation. A 60-year-old female presenting with stroke was diagnosed with non-bacterial thrombotic endocarditis secondary to an occult ovarian clear cell carcinoma, and successfully treated with anticoagulation and tumor resection.
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