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diagnosis infectiousdiseases differential cardiology management negative bcnie algorithm bacteria bloodculture bloodcultures causes clinical cnie fungal granuloma incidence infections majocchis microbiology
Microorganisms Responsible for Infective Endocarditis Native valves: - Streptococcus viridans - Enterococci - Other streptococci
Responsible for Infective ... Endocarditis ... bacilli - Fungi (Candida ... , Aspergillus, Histoplasma ... #Endocarditis #
My Patient with Infective Endocarditis (IE) Has Negative Blood Cultures - Did they receive antibiotics prior
My Patient with Infective ... Endocarditis (IE ... Fungal (Histoplasma/Aspergillus ... patient a surgical candidate ... #Endocarditis #
Causes of blood culture negative infective endocarditis Bartonella spp, Brucella spp, Coxiella burnetii, Chlamydia spp, Tropheryma whipplei,
negative infective ... endocarditis Bartonella ... whipplei, Fungi (Aspergillus ... , Candida), Mycoplasma ... #negative #Endocarditis
Blood Culture-Negative Infective Endocarditis (BCNIE) Definition: No etiology found after 3 separate blood cultures remain negative for
Blood Culture-Negative ... Infective Endocarditis ... whipplei, Fungi (Aspergillus ... , Candida), Mycoplasma ... #Endocarditis #
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Hypercoagulable (APLAS ... 90% of IE cases Culture ... staphylococci Culture ... Tropheryma Whipplei • Aspergillus ... • Blood cultures
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
Endocarditis - Overview ... Hypercoagulable (APLAS ... 90% of IE cases Culture ... Tropheryma Whipplei • Aspergillus ... #Endocarditis
Majocchi’s Granuloma due to Trichophyton rubrum This is GMS stain and culture of a skin biopsy
GMS stain and culture ... granulomatous fungal infection ... Non-dermatophytes: Aspergillus ... Fungal infection ... clinical #photo #microscopy
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
• Confirmed by culture ... ASPERGILLOSIS • Aspergillus ... Diagnosis: • Culture ... arthritis, and endocarditis ... positive blood cultures
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