A RARE PRESENTATION OF NON BACTERIAL THROMBOTIC ENDOCARDITIS IN HIV PATIENT

Nonbacterial thrombotic endocarditis (NBTE) or Marantic endocarditis is a rare type of endocarditis is seen in patients with HIV-wasting syndrome (1) . Its incidence is 3 to 5 percent of AIDS patients(2). Marantic endocarditis is known to be associated with malignant neoplasms, and hypercoagulable states. It can involve all four cardiac valves though left sided lesions are more common(3-5). The vegetations of NBTE were found on the aortic valve in 46.1percent, on the mitral valve in 40.6percent and on the both valves in 8.3percent and leading to valvular dysfunction (2).