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Non-infective endocarditis Characteristics and Pathophysiology

By Dr. Sara Dong @swinndong via #IDFellowCase

#ID  #Infectious Diseases  #Infections
#Differential
IDFellowCase #ID ... #Infections #Differential ... Ddx #Diagnosis #BCNIE ... #CNIE #Endocarditis ... #Cardiac #Pathophysiology
Blood Culture-Negative Infective Endocarditis (BCNIE)
Definition: No etiology found after 3 separate blood cultures remain negative for
Culture-Negative Infective Endocarditis ... • Infection with ... antimicrobials, clinical ... Negative #Infective #Endocarditis ... #diagnosis #differential
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Infectious: • Pre-existing ... mitral regurgitation ... Marantic (NTBE) Differential ... Paradoxical emboli via ASD ... Marantic: Emboli > Regurgitation
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential ... mitral regurgitation ... Paradoxical emboli via ASD ... Marantic: Emboli > Regurgitation ... #Differential #
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Right Atrium - Differential ... Small secundum ASD ... Inadequate injection ... Diagnosis #cardiology #clinical ... echocardiogram #s4c
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
) Suspect: Clinical ... permanent alopecia Differential ... fibromyalgia) • Infections ... • Libman-Sacks endocarditis ... Cytopenias • Cardiac