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diagnosis management infectiousdiseases differential infective cardiology microscopy photo bcnie bcx bloodculture bloodcultures canimorsus contaminant treatment workup abscess acinetobacter acr algorithm
Duke's Criteria for Infective Endocarditis Definite IE - Pathologic Criteria: • Pathologic lesions - vegetation or intracardiac
for Infective Endocarditis ... demonstrating active endocarditis ... major clinical criteria ... Immunologic phenomena • Micro ... #Infective #Endocarditis
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
Causes of blood culture negative infective endocarditis Bartonella spp, Brucella spp, Coxiella burnetii, Chlamydia spp, Tropheryma whipplei,
Causes of blood culture ... negative infective ... endocarditis Bartonella ... #negative #Endocarditis ... InfectiousDiseases #Microbiology
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
Blood Culture Collection Algorithm - Adult Patients with Suspected Systemic Infection Pawlowicz et al evidenced based
Blood Culture Collection ... who meet SIRS criteria ... infections, whose clinical ... tract infection, endocarditis ... #Indications #Criteria
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
Streptocccus Pneumoniae Microbiology: Gram Positive, Alpha-hemolytic, Catalase Negative Epidemiology - 10% adult carriers: • Most common cause of:
Streptocccus Pneumoniae Microbiology ... Alpha-hemolytic, Catalase Negative ... peritonitis, and endocarditis ... sinus • Sputum culture ... Pneumoniae #strep #microbiology
Differentiating NBTE from Infective Endocarditis No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
high index of clinical ... Hypercoagulable states • Clinical ... serology: Serial negative ... Frequent false-negative ... /serology: + (Negative
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
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