41 results
Causes of blood culture negative infective endocarditis

Bartonella spp, Brucella spp, Coxiella burnetii, Chlamydia spp, Tropheryma whipplei,
blood culture negative ... infective endocarditis ... #Endocarditis # ... InfectiousDiseases ... #CNIE #BCNIE #cardiology
Table 3. Suggested Empiric Treatment Options for Clinically Suspected Ventilator-Associated Pneumonia in Units Where Empiric Methicillin-Resistant
Treatment Options for Clinically ... Antipseudomonal/Gram-Negative ... Are Appropriate #Management ... #InfectiousDiseases
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
high index of clinical ... Hypercoagulable states • Clinical ... serology: Serial negative ... Frequent false-negative ... #comparison #infective
Aortic and Mitral Valve Vegetations in Endocarditis on POCUS - PLAX

Why would this 30 y/o male
Vegetations in Endocarditis ... mitral valves and pulmonary ... #Vegetations #Endocarditis ... #POCUS #PLAX #clinical ... #cardiology
Capnocytophaga
Pathogen: Capnocytophaga
 • 9 species, C. canimorsus responsible for the majority of infections
 • Gram-negative rod,
infections • Gram-negative ... 13%), Pneumonia, Endocarditis ... fusiform gram-negative ... microbiology #zoonotic #infectiousdiseases ... #diagnosis #management
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
up, slow down; "negative ... • V1: Broad & negative ... electrocardiogram #cardiology ... #clinical #diagnosis ... #comparison
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... w/ septic pulmonary ... • Aggressive management ... Internet Book of Critical ... criticalcare #diagnosis #management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Endocarditis Summary ... • Coagulase-negative ... Cerebral > Splenic, pulmonary ... #diagnosis #management ... #cardiology
Blood Culture-Negative Infective Endocarditis (BCNIE)
Definition: No etiology found after 3 separate blood cultures remain negative for
Blood Culture-Negative ... Infective Endocarditis ... antimicrobials, clinical ... #Infective #Endocarditis ... differential #workup #infectiousdiseases
Candidemia Workup and Management - IDSA Guidelines
1) Antibiotics
 • Empiric: Echinocandins (e.g. micafungin) for most patients
Candidemia Workup and Management ... Susceptibilities, Negative ... or TEE unless clinical ... concern for endocarditis ... IDSA #Guidelines #Management