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infectiousdiseases management differential infective photo bcnie bcx bloodculture canimorsus contaminant criteria workup abscess associated blood bloodcultures bloodcx brucellosis capd causes
Causes of blood culture negative infective endocarditis Bartonella spp, Brucella spp, Coxiella burnetii, Chlamydia spp, Tropheryma whipplei,
negative infective ... #differential #diagnosis ... #negative #Endocarditis ... InfectiousDiseases #Microbiology ... #CNIE #BCNIE #cardiology
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 ... #Micro #Differential ... #Ddx #Diagnosis
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
Duke's Criteria for Infective Endocarditis Definite IE - Pathologic Criteria: • Pathologic lesions - vegetation or intracardiac
for Infective Endocarditis ... demonstrating active endocarditis ... Immunologic phenomena • Micro ... criteria #Infective #Endocarditis ... #diagnosis #major
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
Streptocccus Pneumoniae Microbiology: Gram Positive, Alpha-hemolytic, Catalase Negative Epidemiology - 10% adult carriers: • Most common cause of:
Streptocccus Pneumoniae Microbiology ... Alpha-hemolytic, Catalase Negative ... Diagnosis: • Physical ... sinus • Sputum culture ... #diagnosis #management
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 ... the key to the diagnosis ... is difficult to culture
Differentiating NBTE from Infective Endocarditis No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
specific to NBTE, and diagnosis ... high index of clinical ... is required for diagnosis ... serology: Serial negative ... Frequent false-negative
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Hypercoagulable (APLAS) Microbiology ... • Coagulase-negative ... Differential Diagnosis ... Diagnosis? ... #cardiology
Blood Culture-Negative Infective Endocarditis (BCNIE) Definition: No etiology found after 3 separate blood cultures remain negative for
Blood Culture-Negative ... Infective Endocarditis ... antimicrobials, clinical ... BCNIE Diagnostic ... #Infective #Endocarditis
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