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Bacterial Endocarditis Infant & Child Bacterial Endocarditis... cmcddallas.com | Infectious endocarditis Treatment and Symptoms goldbamboo.com | Infective Endocarditis - Texas Heart Institute texasheartinstitute.com |
Marantic endocarditis, also known as non-bacterial thrombotic endocarditis (NBTE), is the deposition of small sterile vegetations on valve leaflets. The previous term for nonbacterial thrombotic endocarditis (NBTE) was marantic endocarditis, from the Greek marantikos, meaning “wasting away.”[1] The term "Marantic endocarditis" is still sometimes used to emphasize the association with a wasting state[2] such as cancer.[3]
[edit] Risk factorsMarantic vegetations are often associated with previous rheumatic fever. Other risk factors include:
[edit] Valve predilectionThe disease affects the valves with the following predilection: mitral valve > aortic valve > tricuspid valve > pulmonary valve. [edit] PresentationGrossly, vegetations form along lines of valve closure and are generally symmetric with a smooth or verrucoid (warty) texture. Histologically, lesions are composed of fibrin[4] (eosinophilic) and platelets but, unlike bacterial etiologies, contain little evidence of PMNs, microorganisms or inflammation. [edit] DiagnosisDue to the non-invasive nature of NBTE, clinical examination may or may not reveal a new murmur. It is imperative to take the blood pressure in both arms. [edit] References
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