13 results
Streptocccus Pneumoniae
Microbiology: Gram Positive, Alpha-hemolytic, Catalase Negative
Epidemiology - 10% adult carriers:
 • Most common cause of:
Streptocccus Pneumoniae Microbiology ... peritonitis, and endocarditis ... Diagnosis: • Physical ... CXR, ENT exam, CT ... #diagnosis #management
Q Fever (Coxiella Burnetii) - Acute vs Chronic Diagnosis and Management

Acute:
 - Self-limited flu-like illness
 -
Q Fever (Coxiella ... Acute vs Chronic Diagnosis ... and Management ... #infection #microbiology ... #diagnosis #management
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
is required for diagnosis ... Clinical features: Fever ... Clinical features: Fever ... #comparison #infective ... #table
Clinical Manifestations of Human Herpes Viruses (HHV)

Herpes simplex virus 1	HSV-1	Frequently subclinical (80-90%) Oral lesions (10-20%) congenital
virus 7 HHV-7 Fever ... #Viruses #HHV #Microbiology ... #Diagnosis #Comparison ... #Table
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
TEE) • Chest CT ... • Persistent fever ... • Aggressive management ... #criticalcare #diagnosis ... #management
Spinal Epidural Abscess - Illness Script
Epidemiology:
 - Patients at risk for bacteremia: IVDU, dental abscess, HD
, HD catheter, endocarditis ... Alcoholism, DM, HIV Microbiology ... but rare triad: Fever ... Epidural #Abscess #diagnosis ... #management
Appearance of Liver Lesions on Various Imaging Modalities
 • Computed Tomography (CT) - Arterial Phase, Portal
Computed Tomography (CT ... Ultrasound #Contrast #CT ... #MRI #POCUS #radiology ... #differential #diagnosis ... #comparison #table
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Hypercoagulable (APLAS) Microbiology ... night sweats, fever ... Diagnosis? ... Persistent bacteremia/fevers ... #diagnosis #management
Suspected catheter-related bloodstream infection - Management Algorithm
 • Temperature 37.8 C   • Rigors
Hemodynamically stable ... • Persistent fever ... metastatic infection (endocarditis ... • Persistent fever ... Algorithm #CRBSI #diagnosis
Capnocytophaga
Pathogen: Capnocytophaga
 • 9 species, C. canimorsus responsible for the majority of infections
 • Gram-negative rod,
• Cellulitis: Fever ... 13%), Pneumonia, Endocarditis ... Cholecystitis Diagnosis ... Capnocytophaga #canimorsus #microbiology ... #management #treatment