8 results
My Patient with Infective Endocarditis (IE) Has Negative Blood Cultures
 - Did they receive antibiotics prior
My Patient with Infective ... Fungal (Histoplasma/Aspergillus ... patient a surgical candidate ... Ahmed_HBabiker #Infective ... BloodCultures #Diagnosis #Management
Microorganisms Responsible for Infective Endocarditis

Native valves:
 - Streptococcus viridans 
 - Enterococci 
 - Other streptococci
Responsible for Infective ... bacilli - Fungi (Candida ... , Aspergillus, Histoplasma ... ) - Culture negative ... negative #Infective
Causes of blood culture negative infective endocarditis

Bartonella spp, Brucella spp, Coxiella burnetii, Chlamydia spp, Tropheryma whipplei,
Causes of blood culture ... negative infective ... whipplei, Fungi (Aspergillus ... , Candida), Mycoplasma ... diagnosis #causes #culture
Blood Culture-Negative Infective Endocarditis (BCNIE)
Definition: No etiology found after 3 separate blood cultures remain negative for
Blood Culture-Negative ... Infective Endocarditis ... • Infection with ... whipplei, Fungi (Aspergillus ... , Candida), Mycoplasma
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 ... Tropheryma Whipplei • Aspergillus ... • Blood cultures ... Endocarditis #diagnosis #management
Debridement and Management of Prosthetic Joint Infection (PJI)
Duration of symptoms <3 weeks OR  <30 days
Debridement and Management ... Prosthetic Joint Infection ... expectancy, poor candidacy ... for future surgeries ... #Debridement #Management
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 ... positive blood cultures ... Fungal #Diagnosis #Management