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2015 ; 2015
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An intracardial mass in a young Syrian refugee
#MMPMID26150640
Ingimarsdóttir IJ
; Wikström G
BMJ Case Rep
2015[Jul]; 2015
(ä): ä PMID26150640
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A 35-year-old previously healthy man presented with orogenital ulcerations, high
fever, weight loss and leg thrombosis. Antibiotics were ineffective. His symptoms
persisted and 3 years later he suffered from exertional dyspnoea. Inflammatory
markers were elevated and all cultures were negative. CT of the thorax showed
bilateral pulmonary embolism and a mass attached to the septum of the right
ventricle, as well as an occluded vena cava inferior. Histology of the cardiac
mass revealed a thrombus. The pulmonary embolisation progressed despite treatment
with full-dose dalteparin. After being diagnosed with Behçet's disease, a
multisystemic large-vessel vasculitis, and treated with high-dose prednisolone
and cyclophosphamide, his ulcerations and his symptoms of dyspnoea disappeared.