22 results
Mitral valve endocarditis complicated by an abscess - Echocardiogram

Ivan Stankovic, MD, PhD @ https://twitter.com/Ivan_Echocardio

#MitralValve #Mitral #Valve
Mitral valve endocarditis ... complicated by an abscess ... Mitral #Valve #endocarditis ... #abscess #Echocardiogram ... #POCUS #Clinical
Infective endocarditis - etiology and sources of infection. 
 • Native and prosthetic 
valve endocarditis
 •
Infective endocarditis ... • Native and ... prosthetic valve endocarditis ... #Infective #Endocarditis ... #Differential #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 ... common, Aortic root abscess ... #comparison #infective
Causes of blood culture negative infective endocarditis

Bartonella spp, Brucella spp, Coxiella burnetii, Chlamydia spp, Tropheryma whipplei,
blood culture negative ... infective endocarditis ... causes #culture #negative ... #Endocarditis # ... InfectiousDiseases #Microbiology
Complications of Staph Aureus Bacteremia
 • CNS Infections
 • Septic pulmonary embolism (0.9% - 18.8%)
 •
18.8%) • Epidural abscess ... ) • Iliopsoas abscess ... ) • Infective endocarditis ... - Native valve ... arthritis - Native
Point-of-care Ultrasound for Diagnosis of Abscess in Skin and Soft Tissue Infections

1. POCUS is more accurate
for Diagnosis of Abscess ... POCUS is more accurate ... distinguishing abscess ... POCUS has a negative ... #POCUS #Accuracy
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Hypercoagulable (APLAS) Microbiology ... • Coagulase-negative ... suggests perivalvular abscess ... annular or aortic abscess ... Complications: Abscess
Streptocccus Pneumoniae
Microbiology: Gram Positive, Alpha-hemolytic, Catalase Negative
Epidemiology - 10% adult carriers:
 • Most common cause of:
Streptocccus Pneumoniae Microbiology ... Alpha-hemolytic, Catalase Negative ... peritonitis, and endocarditis ... Meningitis 10-14 days, Endocarditis ... Pneumoniae #strep #microbiology
Spinal Epidural Abscess - Illness Script
Epidemiology:
 - Patients at risk for bacteremia: IVDU, dental abscess, HD
Spinal Epidural Abscess ... : IVDU, dental abscess ... , HD catheter, endocarditis ... Alcoholism, DM, HIV Microbiology ... Spinal #Epidural #Abscess
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
• Typhus, gram-negative ... infection • Abscess ... • Hepatic abscess ... Associated with Relative ... Liver or lung abscess