50 results
Causes of blood culture negative infective endocarditis

Bartonella spp, Brucella spp, Coxiella burnetii, Chlamydia spp, Tropheryma whipplei,
Causes of blood culture ... negative infective ... diagnosis #causes #culture ... #negative #Endocarditis ... InfectiousDiseases #Microbiology
Blood culture contaminants
Grouped by gram negative vs gram positive vs other as well as never/maybe/probably
Some additional
Blood culture contaminants ... Grouped by gram negative ... #Infections #Microbiology
Psittacosis 
Pathogen: Chlamydia psittaci - obligate intracellular gram negative
Transmission:
 • Birds are the primary reservoir
 •
intracellular gram negative ... test • PCR • Culture ... danger of aerosol) Treatment ... first line of treatment ... Chlamydia #psittaci #microbiology
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
Diarrhea Workup ... Patients First Tier Microbiologic-Testing ... Bacterial culture ... above testing negative ... #Diarrhea #Workup
Streptocccus Pneumoniae
Microbiology: Gram Positive, Alpha-hemolytic, Catalase Negative
Epidemiology - 10% adult carriers:
 • Most common cause of:
Streptocccus Pneumoniae Microbiology ... Alpha-hemolytic, Catalase Negative ... sinus • Sputum culture ... Specificity of 97%) Treatment ... Pneumoniae #strep #microbiology
Blood Culture-Negative Infective Endocarditis (BCNIE)
Definition: No etiology found after 3 separate blood cultures remain negative for
Blood Culture-Negative ... remain negative ... microbiological techniques Work-up ... #BloodCulture #Negative ... #differential #workup
Septic Arthritis - Diagnosis and Management Summary
Clinical Exam: hot, swollen, pain with passive AND active ROM
viral arthritis Workup ... arthrocentesis w/ fluid culture ... arthritis diagnosis Treatment ... staphylococcus, gram negative ... until cultures
Coccidiomycosis - Diagnosis
Diagnosis:
 • Mildly elevated peripheral WBC, Eosinophilia (25%), Elevated ESR, Procalcitonin normal (95%)
 •
trend response to treatment ... immunodiffusion test) • Culture ... (ElA may be negative ... 7 days to grow culture ... Coccidioides #Diagnosis #workup
Bacteremia Quick Reference - Treatment Duration

Gram Negative Bacteremia:
 • Avoid: Aminoglycosides and tigecycline
 • Catheters should
Quick Reference - Treatment ... Duration Gram Negative ... • No follow up cultures ... are negative ... #Bacteremia #Treatment
Tuberculosis Testing

LATENT TB
• LTBI is diagnosed when an asymptomatic patient has a positive TST or IGRA
because false-negative ... Mycobacterial culture ... Liquid and solid cultures ... Mycobacterial culture ... Testing #Diagnosis #Workup