An unusual venous thrombosis complicated with infective endocarditis

  • Masood Faghih Dinevari
  • Hamid Noshad
  • Hosein Mahmoodi
Keywords: Infective endocarditis, neurologic symptom, central sinus venous thrombosis


A 68 year old woman presented with sudden onset dyspnea. The first major probability was pulmonary thromboembolism but complementary tests did not confirm this diagnosis. Because of highly probability of thrombosis anticoagulation therapy was continued. Heart murmur detected in mitral area and transesophageal echocardiography (TEE) revealed infective vegetation and antibiotics were started. Progressive Loss of consciousness was the reason of MRI and then MRV which confirmed central venous sinus thrombosis (CVST).This a rare complication of infective endocarditis. The initial presentations of diseases may sometimes deceive the physicians so it is suggested that clinicians must have a wide vision in decision making.


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