36 results
Endocarditis - Duke Criteria - Major and Minor

MAJOR CRITERIA: 
 - Persistently +ve blood culture for
Endocarditis - Duke ... Criteria - Major ... Coxiella burnetii infection ... drug use - Fever ... #Endocarditis
Duke's Criteria for Infective Endocarditis
Definite IE - Pathologic Criteria:
 • Pathologic lesions - vegetation or intracardiac
for Infective Endocarditis ... demonstrating active endocarditis ... Predisposition • Fever ... evidence of active infection ... #Infective #Endocarditis
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
Blood Culture Collection Algorithm - Adult Patients with Suspected Systemic Infection 

Pawlowicz et al evidenced based
who meet SIRS criteria ... warrant an elevated level ... , endocarditis, ... #Management #BloodCultures ... #Indications #Criteria
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
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 ... -> TEE • Duke Criteria ... #diagnosis #management
Suspected catheter-related bloodstream infection - Management Algorithm
 • Temperature 37.8 C   • Rigors
- Management Algorithm ... • Persistent fever ... (endocarditis, ... • Persistent fever ... #Management #Algorithm
Flutycosine - Antibiotics Class Overview
 - 
Mechanism: 5-FC interferes with DNA and protein synthesis.  Only
B for initial management ... severe fungal infections ... severe candidal infections ... (endocarditis, ... - Virtually never
Tularemia - Diagnosis and Management Summary
Francisella tularensis - Aerobic fastidious gram-negative Coccobacillus - Zoonotic Infection
 •
Diagnosis and Management ... Coccobacillus - Zoonotic Infection ... Ulceroglandular: Fever ... tularensis #diagnosis #management ... infectiousdiseases #microbiology
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