10 results
Causes of blood culture negative infective endocarditis

Bartonella spp, Brucella spp, Coxiella burnetii, Chlamydia spp, Tropheryma whipplei,
negative infective ... endocarditis Bartonella ... #negative #Endocarditis ... InfectiousDiseases #Microbiology ... #CNIE #BCNIE #cardiology
Capnocytophaga
Pathogen: Capnocytophaga
 • 9 species, C. canimorsus responsible for the majority of infections
 • Gram-negative rod,
infections • Gram-negative ... 13%), Pneumonia, Endocarditis ... microorganism (Culture ... fusiform gram-negative ... #canimorsus #microbiology
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 ... #Smear #clinical ... #microscopy #microbiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
dental procedure • Cardiac ... Hypercoagulable (APLAS) Microbiology ... • Coagulase-negative ... : • New cardiac ... diagnosis #management #cardiology
Capnocytophaga Canimorsus Skin Rash

40 M presents w/ N, V, severe epigastric pain. SHx: smoker, drinks 18
fastidious gram-negative ... to meningitis, endocarditis ... Myocarditis & culture-negative ... is difficult to culture ... #dermatology #clinical
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Hypercoagulable (APLAS) Microbiology ... aureus, Coagulase-negative ... Negative: • Bartonella ... : • New cardiac ... Differential #Diagnosis #cardiology
Candidemia Workup and Management - IDSA Guidelines
1) Antibiotics
 • Empiric: Echinocandins (e.g. micafungin) for most patients
Susceptibilities, Negative ... Cultures • Length ... involvement • Cardiac ... or TEE unless clinical ... concern for endocarditis
Intern Pocket Cards - Pre-Rounding Guide - Daily Checklist
Overnight Events:
 - Night float signout, nursing notes
Interdisciplinary
on daily basis Radiology ... preliminary or final Microbiology ... - Bacterial culture ... not considered “negative ... to home dose Cardiac
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - PLAX
Pt sent to ED c intradialytic hypotension.
Cultures including ... TB negative. ... Pericardial #Effusion #Cardiac ... Echocardiogram #PLAX #clinical ... #cardiology
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - A4C
Pt sent to ED c intradialytic hypotension.
Cultures including ... TB negative. ... Pericardial #Effusion #Cardiac ... Echocardiogram #A4C #clinical ... #cardiology