Psychosis due to non-bacterial thrombotic endocarditis

Age Ageing. 2010 Mar;39(2):276-7. Epub  2010 Jan 7.

Psychosis due to non-bacterial thrombotic endocarditis.


Department of Medicine for the Elderly, Cumberland Infirmary, Carlisle, CA2 7HY, UK.


Non-bacterial thrombotic endocarditis or marantic endocarditis is an uncommon and frequently terminal condition. We report non-bacterial thrombotic endocarditis presenting as a psychotic illness. The underlying cause was found to be adenocarcinoma of the lung. The patient was nursed on a specialist joint medical/psychiatric unit. Many medical illnesses can present with psychosis in older people: this is the first case report of this presentation in non-bacterial thrombotic endocarditis.


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