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diagnosis differential management endocarditis clinical treatment infective microscopy workup algorithm bloodcultures pathogens transplant bacterial bcnie capnocytophaga cardiac complex diarrhea echocardiogram
Causes of blood culture negative infective endocarditis Bartonella spp, Brucella spp, Coxiella burnetii, Chlamydia spp, Tropheryma whipplei,
culture negative ... under BCNIE, these bacteria ... #culture #negative ... #Microbiology # ... CNIE #BCNIE #cardiology
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
Hypercoagulable (APLAS) Microbiology ... Negative: • Bartonella ... • Persistent bacteremia ... Differential #Diagnosis #cardiology ... #infectiousdiseases
Microorganisms Responsible for Infective Endocarditis Native valves: - Streptococcus viridans - Enterococci - Other streptococci
Histoplasma) - Culture ... negative bacilli ... streptococci - Culture ... #Endocarditis #Bacteria ... #Differential #InfectiousDiseases
My Patient with Infective Endocarditis (IE) Has Negative Blood Cultures - Did they receive antibiotics prior
Blood Cultures ... therapy - Number one cause ... of culture negative ... have a fastidious bacteria ... this be a non-bacterial
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 ... sinus • Sputum culture
Epidemiological Clues That May be Helpful in Defining the Etiological Diagnosis of Culture-Negative Endocarditis #Endocarditis #Bacteria #Differential
Epidemiological Clues ... Etiological Diagnosis of Culture-Negative ... #Endocarditis #Bacteria ... Microorganisms #Clues
Blood Culture-Negative Infective Endocarditis (BCNIE) Definition: No etiology found after 3 separate blood cultures remain negative for
Blood Culture-Negative ... remain negative ... but important causes ... #BloodCulture #Negative ... differential #workup #infectiousdiseases
Transplant Infections Timeline Pre-transplant: • Common bacteria (endogenous): Staphylococci (skin), Gram-negative bacilli (gut) • Viruses: HSV (reactivation) Engraftment:
Pre-transplant: • Common bacteria ... Staphylococci (skin), Gram-negative ... Staphylococci (skin), Gram-negative ... differential #diagnosis #causes ... #infectiousdiseases
Bacteremia Quick Reference - Treatment Duration Gram Negative Bacteremia: • Avoid: Aminoglycosides and tigecycline • Catheters should
Duration Gram Negative ... • No follow up cultures ... Follow-up blood cultures ... are negative ... Management #Duration #infectiousdiseases
HACEK is the acronym commonly used to describe and help doctors to remember a group of
fastidious Gram-negative ... which can also cause ... endocarditis is caused ... by HACEK bacteria ... #Diagnosis #InfectiousDiseases
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