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Correspondence
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Volume 336:1677-1678 June 5, 1997 Number 23
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Nonbacterial Thrombotic Endocarditis in Three Members of a Family

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To the Editor: Nonbacterial thrombotic endocarditis is a rare clinical entity whose cause is poorly understood.1,2,3,4 We describe a father and his two daughters who had this disorder and associated cerebral embolic strokes.

A 34-year-old, previously healthy woman who was 27 weeks pregnant presented with sudden left-sided facial and upper-body weakness. She reported no history of neurologic diseases, other medical illnesses, or intravenous drug use. Magnetic resonance imaging of the brain showed an ischemic lesion in the right insular and low frontal territories due to occlusion of the right middle cerebral artery, with no evidence of hemorrhage, masses, or cortical . . . [Full Text of this Article]

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