23 results
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
for metastatic infection ... • Persistent fever ... • Aggressive management ... metastatic foci of infection ... Josh Farkas @PulmCrit
Spinal Epidural Abscess - Illness Script
Epidemiology:
 - Patients at risk for bacteremia: IVDU, dental abscess, HD
, HD catheter, endocarditis ... Alcoholism, DM, HIV Microbiology ... weakness, sensory changes ... imaging as needed Treatment ... Abscess #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 ... #microbiology ... #diagnosis #management
Chagas Disease (American trypanosomiasis) - Diagnosis and Management Summary
Acute Chagas Disease (8-12 weeks):
 • Mild: Malaise,
Diagnosis and Management ... Mild: Malaise, fever ... • Treatment: ... useful for chronic infection ... #Microbiology #
Suspected catheter-related bloodstream infection - Management Algorithm
 • Temperature 37.8 C   • Rigors
- Management Algorithm ... • Persistent fever ... (endocarditis, ... • Persistent fever ... Hernodynamically stable after treatment
Tularemia - Diagnosis and Management Summary
Francisella tularensis - Aerobic fastidious gram-negative Coccobacillus - Zoonotic Infection
 •
Diagnosis and Management ... Coccobacillus - Zoonotic Infection ... Ulceroglandular: Fever ... Culture & GS, PCR Treatment ... #microbiology
Hantavirus
Pathogen: Hantavirus - Rodents are the primary reservoir
Transmission:
 • Shed in the urine, feces, saliva of
common route of infection ... • Prodrome: fever ... • Autopsy PCR Treatment ... Hantavirus #diagnosis #management ... #treatment #microbiology
Visceral Leishmaniasis - Diagnosis and Management Summary
Species: Leishmania donovani, Leishmania infantum, Leishmania chagasi
Where: South Asia, East
Diagnosis and Management ... infantum, Leishmania chagasi ... and NO, Suppress induction ... 2-6 months • Fever ... #microbiology
Capnocytophaga
Pathogen: Capnocytophaga
 • 9 species, C. canimorsus responsible for the majority of infections
 • Gram-negative rod,
the majority of infections ... 13%), Pneumonia, Endocarditis ... Capnocytophaga #canimorsus #microbiology ... infectiousdiseases #diagnosis #management ... #treatment
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