1521 results
Streptocccus Pneumoniae
Microbiology: Gram Positive, Alpha-hemolytic, Catalase Negative
Epidemiology - 10% adult carriers:
 • Most common cause of:
peritonitis, and endocarditis ... Urine antigen in bacteremia ... Specificity of 97%) Treatment ... patients with bacteremia ... Meningitis 10-14 days, Endocarditis
Causes of Antibiotic Failure - Differential Diagnosis Framework
Diagnosis:
 • Non-Infectious: Malignant, Autoimmune, Drug-related (NMS, serotonin syndrome,
Bug: Atypical bacteria ... Aggressive: MRSA bacteremia ... Immunocompromise Treatment ... lines, osteo, endocarditis ... • Secondary to Treatment
Spinal Epidural Abscess - Illness Script
Epidemiology:
 - Patients at risk for bacteremia: IVDU, dental abscess, HD
Patients at risk for bacteremia ... , HD catheter, endocarditis ... imaging as needed Treatment
Suspected catheter-related bloodstream infection - Management Algorithm
 • Temperature 37.8 C   • Rigors
Persistent fever and/or bacteremia ... metastatic infection (endocarditis ... Persistent fever and/or bacteremia ... Hernodynamically stable after treatment
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Endocarditis - Overview ... Prosthetic Valve Endocarditis ... hematuria, + RF Treatment ... • Persistent bacteremia ... #Endocarditis
IDSA Recommendations for Treating Bartonella Infections in HIV-AIDS
Preferred Therapy
For Bacillary Angiomatosis, Peliosis Hepatis, Bacteremia, and Osteomyelitis:
Peliosis Hepatis, Bacteremia ... Confirmed Bartonella Endocarditis ... course of primary treatment ... IDSA #Prevention #Treatment
DENOVA score to predict endocarditis in patients with Enterococcus faecalis bacteremia
 • Duration of symptoms ≥
score to predict endocarditis ... Enterococcus faecalis bacteremia ... DENOVA #score #endocarditis ... Enterococcus #faecalis #bacteremia
Infective Endocarditis - Indications for Surgery - "Fun-HEARTS" Mnemonic

Fungal endocarditis
Heart failure (valve dysfunction)
Enterococcus (VRE) endocarditis
Abscess, annular
Infective Endocarditis ... Mnemonic Fungal endocarditis ... Enterococcus (VRE) endocarditis ... Time, sustained bacteremia ... / pSeudomonas endocarditis
Epidemiological Clues That May be Helpful in Defining the Etiological Diagnosis of Culture-Negative Endocarditis

#Endocarditis #Bacteria #Differential
Culture-Negative Endocarditis ... #Endocarditis ... #Bacteria #Differential
Non-Infective Endocarditis - Pathophysiology
Non-infective Endocarditis Pathophysiology:
 • Valves usually undamaged - Etiology poorly understood but thought
Non-Infective Endocarditis ... Non-infective Endocarditis ... rare Infective Endocarditis ... endothelium is common → Bacteria ... over clusters of bacteria