8 results
My Patient with Infective Endocarditis (IE) Has Negative Blood Cultures
 - Did they receive antibiotics prior
Negative Blood Cultures ... antibiotics prior to cultures ... Number one cause of culture ... patient a surgical candidate ... BloodCultures #Diagnosis #Management
Common Fungal Pathology 
 • Candida - Small yeast intermingled with pseudohyphae
 • Aspergillosis - Septate
Pathology • Candida ... Pathology #clinical #microscopy ... #table #atlas #
Invasive Candidiasis (IC)

Diagnosis:
Culture:
 • Gold standard, but Slow (~2-3 days), 50% sensitivity
 • Blood Sample
 •
Diagnosis: Culture ... Sterile-site biopsy Non-culture-based ... Additional management ... antifungal #diagnosis #management ... #candida #auris
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
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 ... • Blood cultures ... Endocarditis #diagnosis #management
Ochroconis (Verruconis) gallopava on culture and microscopy
Middle age patient with chronic cough and progressive SOB. CT
) gallopava on culture ... and microscopy ... The condia are two-celled ... Verruconis #gallopava #culture ... #microscopy #clinical
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 ... #Debridement #Management
Blastomycosis Summary

Pathogen: 
 • Dimorphic fungus - Blastomyces dermatitidis or Blastomyces gilchristii.
 • The fungus lives
in New York and Canada ... Skin tissue 2) Culture ... Blastomycosis #diagnosis #management