31 results
My Patient with Infective Endocarditis (IE) Has Negative Blood Cultures
 - Did they receive antibiotics prior
with Infective Endocarditis ... patient a surgical candidate ... #Infective #Endocarditis ... BloodCultures #Diagnosis ... #Management #Algorithm
Microorganisms Responsible for Infective Endocarditis

Native valves:
 - Streptococcus viridans 
 - Enterococci 
 - Other streptococci
for Infective Endocarditis ... bacilli - Fungi (Candida ... Histoplasma) - Culture ... streptococci - Culture ... Bacteria #Pathogens #Diagnosis
Blood Culture Collection Algorithm - Adult Patients with Suspected Systemic Infection 

Pawlowicz et al evidenced based
Algorithm - Adult ... Algorithm Source ... Implementation-of-an-evidence-based-algorithm-reduces-blood-culture-overuse-in-an-adult-emergency-department.php ... tract infection, endocarditis ... #Management #BloodCultures
Causes of blood culture negative infective endocarditis

Bartonella spp, Brucella spp, Coxiella burnetii, Chlamydia spp, Tropheryma whipplei,
Causes of blood culture ... negative infective endocarditis ... (Aspergillus, Candida ... #differential #diagnosis ... #negative #Endocarditis
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... suspect right-sided endocarditis ... • Aggressive management ... #criticalcare #diagnosis ... #management
Infective Endocarditis - Diagnosis and Management Summary
Pearls:
 - Consider non-infectious endocarditis in pts with cancer/SLE and
Infective Endocarditis ... - Diagnosis and ... Management Summary ... cancer/SLE and - cultures ... #Diagnosis #Management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Hypercoagulable (APLAS ... Differential Diagnosis ... Diagnosis? ... • Blood cultures ... #diagnosis #management
Systolic Murmurs - Differential Diagnosis Algorithm
Benign / Flow / Hyperdynamic:
 • Pregnancy
 • Fever
 • Anemia
Supravalvular
- Differential Diagnosis ... Algorithm Benign ... • Endocarditis ... #Differential #Diagnosis ... #Algorithm #causes
Invasive Candidiasis (IC)

Diagnosis:
Culture:
 • Gold standard, but Slow (~2-3 days), 50% sensitivity
 • Blood Sample
 •
Candidiasis (IC) Diagnosis ... : Culture: • ... Additional management ... IC #antifungal #diagnosis ... #management #candida
Blood Culture-Negative Infective Endocarditis (BCNIE)
Definition: No etiology found after 3 separate blood cultures remain negative for
Infective Endocarditis ... (Aspergillus, Candida ... BCNIE Diagnostic ... Negative #Infective #Endocarditis ... #diagnosis #differential