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bcx contaminant endocarditis bloodcultures cardiology contamination differential infectiousdiseases interpretation management rheumatology testing workup acr arthritis blood bloodculture brucellosis contaminants ddx
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
Duke's Criteria for Infective Endocarditis Definite IE - Pathologic Criteria: • Pathologic lesions - vegetation or intracardiac
major clinical criteria ... blood cultures ... from 2 separate blood ... Immunologic phenomena • Micro ... #Endocarditis #diagnosis
Capnocytophaga spp on Culture and Blood Smear Associated w/ dog/human oral flora, can cause bacteremia in immunocompromised
Capnocytophaga spp ... anaerobe; narrow Gram negative ... #Culture #Blood ... #Smear #clinical ... #microscopy #microbiology
How to Determine a Contaminant vs True Infection What is the organism? Most common contaminants:
• Coagulase-negative ... ) How many blood ... culture sets are ... species from the micro ... #BCx #Laboratory
Diagnosing Brucellosis Epidemiological Exposures - Endemic Regions - Clinical Micro Lab Technicians - Animal/Vaccine Exposure: Vets, Slaughterhouse workers, hunters - Unpasteurized
Endemic Regions - Clinical ... Micro Lab Technicians ... cheese, ice cream) Clinical ... : Culture (blood ... #Criteria #Workup
Disseminated Gonococcal Infection - Diagnosis and Management Summary Bacteremic spread of the Gram-negative diplococci Neisseria gonorrhoeae. History
spread of the Gram-negative ... Laboratory Diagnosis ... : • 2 sets of blood ... cultures should ... #Management #Microbiology
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Hypercoagulable (APLAS) Microbiology ... : Blood cultures ... • Coagulase-negative ... • Blood cultures ... -> TEE • Duke Criteria
Guide to Interpretation of Positive Blood Cultures I arrange the potential Gram stain results that one can
Interpretation of Positive Blood ... Remember that clinician ... Interpretation #Laboratory ... #Microbiology # ... Diagnosis
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
Hypercoagulable (APLAS) Microbiology ... : Blood cultures ... Negative: • Bartonella ... : • Blood cultures ... → TEE • Duke Criteria
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases • Septic arthritis - Gram stain and culture of
Gram stain and culture ... ANAs; thus, a negative ... : • Complete blood ... ANA and RF (if clinical ... #workup #diagnosis
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