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diagnosis differential cardiology algorithm antibiotic bloodstream comparison failure immune infection infections infectiousdiseases infective inflammatory intermittent iris lung marantic nbte noninfective
Suspected catheter-related bloodstream infection - Management Algorithm • Temperature 37.8 C • Rigors
Hemodynamically stable ... • Persistent fever ... metastatic infection (endocarditis ... , epidural abscess ... • Persistent fever
Fever Patterns - Differential Diagnosis Framework Continuous Fever: Temp > 38°C with only 1 degree fluctuation in 24
Differential Diagnosis ... infection • Abscess ... Non-Infectious Causes ... Leptospirosis Pel-Ebstein ... #Patterns #Differential
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
substance use • IV catheter ... night sweats, fever ... Marantic (NTBE) Differential ... Persistent bacteremia/fevers ... #diagnosis #management
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
: • 80% have fever ... Intervention: - Fevers ... Differential Diagnosis ... #pulmonary #differential ... #causes #management
Differentiating NBTE from Infective Endocarditis No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
Clinical features: Fever ... lines/indwelling catheters ... in up to 30% of cases ... common, Aortic root abscess ... Marantic #diagnosis #table
Causes of Antibiotic Failure - Differential Diagnosis Framework Diagnosis: • Non-Infectious: Malignant, Autoimmune, Drug-related (NMS, serotonin syndrome,
Causes of Antibiotic ... Source control (abscess ... lines, osteo, endocarditis ... SJS, DIHS, drug fever ... Infection: IV catheter
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
and Differential ... substance use • IV catheter ... night sweats, fever ... Treat underlying cause ... #Differential #
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS What Is IRIS? • A state of hyperinflammatory response that
osteomyelitis, cutaneous abscesses ... Candida albicans • Epstein ... Leishmaniasis Differential ... Inflammatory #Syndrome #Differential ... #Diagnosis #Management
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