10 results
diagnosis endocarditis infectiousdiseases candidiasis cardiology differential fungal algorithm antifungal auris blastomycosis blood bloodcultures candidemia clinical debridement fungemia granuloma guidelines hematuria
My Patient with Infective Endocarditis (IE) Has Negative Blood Cultures - Did they receive antibiotics prior
Negative Blood Cultures ... antibiotics prior to cultures ... Fungal (Histoplasma/Aspergillus ... patient a surgical candidate ... BloodCultures #Diagnosis #Management
Invasive Candidiasis (IC) Diagnosis: Culture: • Gold standard, but Slow (~2-3 days), 50% sensitivity • Blood Sample •
Diagnosis: Culture ... Line Targeted Treatment ... Additional management ... #candida #auris ... #treatment
Hematuria in Post-Renal Transplant Patient Prevalence up to 12% in the postrenal transplant patient • Bacterial: Escherichia
Virus • Fungal: Candida ... Cryptococcus Neoformans, Aspergillus ... #blood #urine #management ... #treatment #nephrology
Candidemia Workup and Management - IDSA Guidelines 1) Antibiotics • Empiric: Echinocandins (e.g. micafungin) for most patients
Candidemia Workup and Management ... Susceptibilities, Negative Cultures ... IDSA #Guidelines #Management ... #candida #candidiasis ... #treatment #fungal
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
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
Hypercoagulable (APLAS ... 90% of IE cases Culture ... staphylococci Culture ... Tropheryma Whipplei • Aspergillus ... hematuria, + RF Treatment
Debridement and Management of Prosthetic Joint Infection (PJI) Duration of symptoms <3 weeks OR <30 days
Debridement and Management ... expectancy, poor candidacy ... for future surgeries ... Joint #Infection #treatment ... #Debridement #Management
Majocchi’s Granuloma due to Trichophyton rubrum This is GMS stain and culture of a skin biopsy
GMS stain and culture ... Treatment: Itraconazole ... Non-dermatophytes: Aspergillus ... Majocchi granuloma Treatment ... clinical #photo #microscopy
Blastomycosis Summary Pathogen: • Dimorphic fungus - Blastomyces dermatitidis or Blastomyces gilchristii. • The fungus lives
in New York and Canada ... Skin tissue 2) Culture ... serum/urine Treatment ... Blastomycosis #diagnosis #management ... #treatment #infectiousdiseases
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
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