12 results
Capnocytophaga
Pathogen: Capnocytophaga
 • 9 species, C. canimorsus responsible for the majority of infections
 • Gram-negative rod,
Capnocytophaga ... infections • Gram-negative ... 13%), Pneumonia, Endocarditis ... fusiform gram-negative ... #canimorsus #microbiology
Infective endocarditis - etiology and sources of infection. 
 • Native and prosthetic 
valve endocarditis
 •
Infective endocarditis ... • Native and ... prosthetic valve endocarditis ... #Infective #Endocarditis ... #Differential #Microbiology
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
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
Capnocytophaga Canimorsus Skin Rash

40 M presents w/ N, V, severe epigastric pain. SHx: smoker, drinks 18
Capnocytophaga Canimorsus ... fastidious gram-negative ... to meningitis, endocarditis ... Myocarditis & culture-negative ... identify severe Capnocytophaga
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
from Infective Endocarditis ... serology: Serial negative ... Frequent false-negative ... cultures/serology: + (Negative ... #comparison #infective
Capnocytophaga spp on Culture and Blood Smear
Associated w/ dog/human oral flora, can cause bacteremia in immunocompromised
Capnocytophaga spp ... anaerobe; narrow Gram negative ... richdavisphd #Capnocytophaga ... clinical #microscopy #microbiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Endocarditis Summary ... Hypercoagulable (APLAS) Microbiology ... Prosthetic Valve Endocarditis ... • Coagulase-negative ... #Endocarditis
What's the Dx?
• 29-year-old male 
• Transfer community hospital 
• Hypotension
• Renal failure
• Altered mental status.
Using IV heroin • Negative ... vegetation secondary to endocarditis ... #Clinical #POCUS ... PLAX #Infective #Endocarditis
Important Fungal Stains
Mycology Lab:
 • Calcofluor white - Fluorochrome that binds glucans and chitin in fungal
• India ink - "Negative ... Fungal #Stains #microbiology ... fungi #fungus #comparison