Affiliation:
1. Medicina Interna 3 Firenze Italy
2. Dipartimento Medicina Sperimentale e Clinica Università di Firenze Firenze Italy
Abstract
Key Clinical MessageNeuropsychiatric symptoms, depression, and progressive mental confusion should not be overlooked as onset symptoms of multiple cerebral ischemic lesions due to cardiac embolization. Comprehensive clinical evaluation due to progressive anemia led to the diagnosis of poorly differentiated adenocarcinoma of the esophagogastric junction as cause of embolizing nonbacterial mitral endocarditis.