Right-sided non-bacterial thrombotic endocarditis in a chronic hemodialysis patient with Muir-Torre syndrome

Endocarditis is a recognised complication of hemodialysis. This is generall y only thought of in terms of infective vegetations. We present a case of r ight-sided NBTE in a patient with an indwelling venous catheter who also ha d advanced pelvic malignancy. The unusual side of this patient's endocardit ic lesions implicates a role for the venous catheter in determining the sit e of non-bacterial thrombus formation. It is also a reminder that endocardi tis is always a risk when using central venous catheters, even after approp riate sterile precautions have been taken.