Case of the Month: January 2026
Case history
- 60-year-old patient with known antiphospholipid syndrome presented with left-sided weakness.
Click to reveal diagnosis
- MRI showed acute infarcts in multiple arterial territories.
- Transoesophageal echocardiogram (TOE) showed tricuspid and aortic vegetations with regurgitation.
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Libman-Sacks endocarditis is a non-infective endocarditis classically associated with antiphospholipid syndrome and systemic lupus erythematosus, causing embolic multi-territory infarcts.