11 results
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... • Persistent fever ... • Aggressive management ... Josh Farkas @PulmCrit ... criticalcare #diagnosis #management
Flutycosine - Antibiotics Class Overview
 - 
Mechanism: 5-FC interferes with DNA and protein synthesis.  Only
B for initial management ... several severe fungal ... candidal infections (endocarditis ... - Virtually never
Candidemia Workup and Management - IDSA Guidelines
1) Antibiotics
 • Empiric: Echinocandins (e.g. micafungin) for most patients
Candidemia Workup and Management ... clinical concern for endocarditis ... Consider: Spine, CNS, liver ... IDSA #Guidelines #Management ... candidiasis #treatment #fungal
Spinal Epidural Abscess - Illness Script
Epidemiology:
 - Patients at risk for bacteremia: IVDU, dental abscess, HD
, HD catheter, endocarditis ... Alcoholism, DM, HIV Microbiology ... but rare triad: Fever ... Abscess #diagnosis #management
Suspected catheter-related bloodstream infection - Management Algorithm
 • Temperature 37.8 C   • Rigors
bloodstream infection - Management ... • Persistent fever ... metastatic infection (endocarditis ... • Persistent fever ... pathogens (S. aureus, fungal
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Endocarditis Summary ... Hypercoagulable (APLAS) Microbiology ... night sweats, fever ... #Endocarditis ... #diagnosis #management
CAPD-associated peritonitis (Continuous Ambulatory Peritoneal Dialysis) - 5 Things To Know
Diagnosis (Two of the following):
(1) Clinical
culture Note that fever ... Microbiology: • ... peritonitis • Fungal ... prior abx use, fungal ... peritonitis #Diagnosis #Management
Q Fever (Coxiella Burnetii) - Acute vs Chronic Diagnosis and Management

Acute:
 - Self-limited flu-like illness
 -
Q Fever (Coxiella ... Diagnosis and Management ... Hepatitis - Acute endocarditis ... #infection #microbiology ... #diagnosis #management
Capnocytophaga
Pathogen: Capnocytophaga
 • 9 species, C. canimorsus responsible for the majority of infections
 • Gram-negative rod,
• Cellulitis: Fever ... 13%), Pneumonia, Endocarditis ... Capnocytophaga #canimorsus #microbiology ... infectiousdiseases #diagnosis #management
Candida Glabrata
Species of Candida Most Commonly Isolated in Bloodstream Infections
 • Symptomatic mucosal infection is detected
rare cases of endocarditis ... with persistent fever ... candidemia #diagnosis #management ... #fungemia #management ... infectiousdiseases #microbiology