Abstract
The Libman-Sacks endocarditis is a well-recognized systemic lupus erythematosus manifestation in which cardiac valvular sterile vegetations are observed predominantly in the left side of the heart, especially in the mitral valve. Most patients are asymptomatic; however, the acute clinical presentation may mimic an infectious endocarditis (pseudo-infectious endocarditis) and complicate both the differential diagnosis and treatment.The case of a 63 year-old male patient, who presented signs and symptoms consistent with infectious endocarditis and whose several studies demonstrated Libman-Sacks endocarditis and who responded favorably to immunosuppressive therapy, is reported.
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