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diagnosis infectiousdiseases differential treatment causes algorithm checklist criteria fever infections cardiology criticalcare duke idsa liver activetb american antibiotic candida candidemia
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses Medical History: • Skin exposure to
rickettsioses, amebic abscess ... , infective endocarditis ... abscess • Diarrhea ... abscess, visceral ... endocarditis
Fever Patterns - Differential Diagnosis Framework Continuous Fever: Temp > 38°C with only 1 degree fluctuation in 24
• Abscess, bacteremia ... endocarditis, malaria ... • Hepatic abscess ... or lung abscess ... endocarditis Non-Infectious
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
for metastatic infection ... • Myocardial abscess ... • Persistent fever ... • Aggressive management ... Josh Farkas @PulmCrit
Causes of Fever of Unknown Origin (FUO) - Differential Diagnosis Algorithm Neoplasm: • NHL • Hodgkin's lymphoma • Leukemia • Solid
• Trauma Non-infectious ... Organ Specific Infection ... • Infectious ... endocarditis • ... Osteomyelitis • Occult abscess
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Infectious: • Pre-existing ... Hypercoagulable (APLAS) Microbiology ... night sweats, fever ... • Infectious insult ... #diagnosis #management
Spinal Epidural Abscess - Illness Script Epidemiology: - Patients at risk for bacteremia: IVDU, dental abscess, HD
Spinal Epidural Abscess ... , HD catheter, endocarditis ... Alcoholism, DM, HIV Microbiology ... but rare triad: Fever ... #diagnosis #management
Suspected catheter-related bloodstream infection - Management Algorithm • Temperature 37.8 C • Rigors
• Persistent fever ... (endocarditis, ... epidural abscess ... • Persistent fever ... limited vascular access
Endocarditis - Duke Criteria - Major and Minor MAJOR CRITERIA: - Persistently +ve blood culture for
Endocarditis - Duke ... vegetation, dehiscence, abscess ... Coxiella burnetii infection ... drug use - Fever ... criteria #Endocarditis
Causes of Fever of Unknown Origin (FUO) - Differential Diagnosis • Infection: Extrapulmonary tuberculosis, Abscess, Endocarditis,
Causes of Fever ... Diagnosis • Infection ... tuberculosis, Abscess ... , Endocarditis, ... carcinoma • Non-infectious
Duke's Criteria for Infective Endocarditis Definite IE - Pathologic Criteria: • Pathologic lesions - vegetation or intracardiac
Duke's Criteria for Infective ... Endocarditis Definite ... or intracardiac abscess ... or intracardiac abscess ... Predisposition • Fever
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