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microbiology treatment differential infective shock table cardiology negative types algorithm bcnie criticalcare fungal infection listeria listeriosis monocytogenes abscess aeromonas aspergillus
Microorganisms Responsible for Infective Endocarditis Native valves: - Streptococcus viridans - Enterococci - Other streptococci
for Infective Endocarditis ... Histoplasma) - Culture ... streptococci - Culture ... Bacteria #Pathogens #Diagnosis ... #Differential #InfectiousDiseases
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
My Patient with Infective Endocarditis (IE) Has Negative Blood Cultures - Did they receive antibiotics prior
with Infective Endocarditis ... Negative Blood Cultures ... #Infective #Endocarditis ... BloodCultures #Diagnosis ... #Management #Algorithm
Causes of blood culture negative infective endocarditis Bartonella spp, Brucella spp, Coxiella burnetii, Chlamydia spp, Tropheryma whipplei,
Causes of blood culture ... negative infective endocarditis ... #differential #diagnosis ... #negative #Endocarditis ... #InfectiousDiseases
Bedside Classification of Shock Hypovolemic shock - Vomiting, diarrhea, overdiuresis - Hemorrhage (GI, peritoneal, RP) Distributive shock
Bedside Classification ... dysfunction - Endocarditis ... papillary muscle rupture ... #Cardiogenic #Comparison ... #Table #Diagnosis
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
Differentiating NBTE from Infective Endocarditis No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
from Infective Endocarditis ... specific to NBTE, and diagnosis ... is required for diagnosis ... #comparison #infective ... NBTE #Marantic #diagnosis
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
90% of IE cases Culture ... Differential Diagnosis ... Diagnosis? ... • Blood cultures ... #diagnosis #management
Blood Culture-Negative Infective Endocarditis (BCNIE) Definition: No etiology found after 3 separate blood cultures remain negative for
Infective Endocarditis ... BCNIE Diagnostic ... Negative #Infective #Endocarditis ... #diagnosis #differential ... #workup #infectiousdiseases
Listeriosis Summary - Listeria Monocytogenes Pathogen: Listeria Monocytogenes - Gram-positive rod, Aerobic, facultative anaerobe, motile, beta-hemolytic, Non-spore-forming Risk
CNS infection Diagnosis ... : • Stool culture ... available • Blood culture ... Monocytogenes #diagnosis ... #management #infectiousdiseases
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