28 results
Infective endocarditis - etiology and sources of infection. 
 • Native and prosthetic 
valve endocarditis
 •
Infective endocarditis ... • Native and ... #Sources #Causes ... Bacteria #Etiology #Differential ... #Microbiology #
Causes of blood culture negative infective endocarditis

Bartonella spp, Brucella spp, Coxiella burnetii, Chlamydia spp, Tropheryma whipplei,
culture negative ... infective endocarditis ... #differential # ... #Endocarditis # ... InfectiousDiseases #Microbiology
Endocarditis Algorithm - Infective vs Noninfective Causes
Noninfective:
 • Malignancy
 • Autoimmune disease
 • Systemic infection
Native Valve
Endocarditis Algorithm ... vs Noninfective Causes ... amzn.to/2LmUODZ #Endocarditis ... #Noninfective #Causes ... #Differential #
Epidemiological Clues That May be Helpful in Defining the Etiological Diagnosis of Culture-Negative Endocarditis

#Endocarditis #Bacteria #Differential
Epidemiological Clues ... Diagnosis of Culture-Negative ... Endocarditis ... #Endocarditis #Bacteria ... #Differential #
Streptocccus Pneumoniae
Microbiology: Gram Positive, Alpha-hemolytic, Catalase Negative
Epidemiology - 10% adult carriers:
 • Most common cause of:
Streptocccus Pneumoniae Microbiology ... Alpha-hemolytic, Catalase Negative ... • Most common cause ... media • Important cause ... peritonitis, and endocarditis
Considerations for Crystalloids - 0.9% NS vs LR vs Plasma-Lyte
 - Causes hyperkalemia?
 - Safe to
Plasma-Lyte - Causes ... - Causes lactic ... removed- trials were negative ... #pharmacology #indications ... #comparison #LR
Doxycycline - Coverage and Indications
 • Staphylococci (S aureus + CoNS)
 • The tick stuff: Borrelia
- Coverage and Indications ... • "Atypical" causes ... • Acne • Gram-negative ... Doxycycline #Coverage #Indications ... #pharmacology #microbiology
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
serology: Serial negative ... Frequent false-negative ... cultures/serology: + (Negative ... in up to 30% of cases ... #comparison #infective
Pathogens in Pneumonia

Here is a quick review of the pathogens causing pneumonia (useful for enumerating differentials
for enumerating differentials ... strep - Gram-negatives ... Pathogens #Pneumonia #Differential ... #Microbiology # ... Causes #Agents #
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Hypercoagulable (APLAS) Microbiology ... • Coagulase-negative ... Septic Emboli Cause ... Marantic (NTBE) Differential ... Treat underlying cause