36 results
Duke's Criteria for Infective Endocarditis
Definite IE - Pathologic Criteria:
 • Pathologic lesions - vegetation or intracardiac
demonstrated by culture ... Definite IE - Clinical ... major clinical criteria ... blood cultures ... Immunologic phenomena • Micro
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
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
Capnocytophaga
Pathogen: Capnocytophaga
 • 9 species, C. canimorsus responsible for the majority of infections
 • Gram-negative rod,
infections • Gram-negative ... microorganism (Culture ... fusiform gram-negative ... #canimorsus #microbiology ... infectiousdiseases #diagnosis #management
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 ... #Management #BloodCultures ... #Indications #Criteria
Capnocytophaga Canimorsus Skin Rash

40 M presents w/ N, V, severe epigastric pain. SHx: smoker, drinks 18
fastidious gram-negative ... Myocarditis & culture-negative ... possible Patient's clinical ... is difficult to culture ... #dermatology #clinical
Bacteremia Quick Reference - Treatment Duration

Gram Negative Bacteremia:
 • Avoid: Aminoglycosides and tigecycline
 • Catheters should
Duration Gram Negative ... • No follow up cultures ... the following criteria ... are negative ... Bacteremia #Treatment #Management
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 ... Diagnostics: Culture ... Brucellosis #Diagnosis #Criteria
Streptocccus Pneumoniae
Microbiology: Gram Positive, Alpha-hemolytic, Catalase Negative
Epidemiology - 10% adult carriers:
 • Most common cause of:
Streptocccus Pneumoniae Microbiology ... Alpha-hemolytic, Catalase Negative ... sinus • Sputum culture ... Pneumoniae #strep #microbiology ... #diagnosis #management
Psittacosis 
Pathogen: Chlamydia psittaci - obligate intracellular gram negative
Transmission:
 • Birds are the primary reservoir
 •
intracellular gram negative ... test • PCR • Culture ... Chlamydia #psittaci #microbiology ... #diagnosis #management