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diagnosis differential radiology clinical cxr infectiousdiseases lung management algorithm cardiology ctchest infections endocarditis consolidation treatment brain infective microbiology pattern rheumatology
Endocarditis Algorithm - Infective vs Noninfective Causes Noninfective: • Malignancy • Autoimmune disease • Systemic infection Native Valve
vs Noninfective Causes ... HACEK • Culture-negative ... bacilli • Fungi ... bacilli • Fungi ... #Noninfective #Causes
Microorganisms Responsible for Infective Endocarditis Native valves: - Streptococcus viridans - Enterococci - Other streptococci
epidermidis - Gram-negative ... bacilli - Fungi ... ) - Culture negative ... bacilli - Fungi ... streptococci - Culture negative
Important Fungal Stains Mycology Lab: • Calcofluor white - Fluorochrome that binds glucans and chitin in fungal
Important Fungal ... cell response to fungi ... doesn't stain most fungi ... • India ink - "Negative ... staining #diagnosis #fungi
Causes of Culture Negative Abscess - Differential Diagnosis Framework Consider prior antibiotics as a cause of a
Causes of Culture ... Negative Abscess ... antibiotics as a cause ... of a negative culture ... Scedosporium, endemic fungi
1,3 Beta-D-Glucan and Galactomannan - Pathogens, and Testing Characteristics 1,3 ß-D-glucan: • Most fungi excluding mucor and
ß-D-glucan: • Most fungi ... Glucan-containing gauzes ... inconsistently in other fungi ... InfectiousDiseases #Diagnosis #Fungus ... #Fungi #Fungal
Transplant Infections Timeline Pre-transplant: • Common bacteria (endogenous): Staphylococci (skin), Gram-negative bacilli (gut) • Viruses: HSV (reactivation) Engraftment:
Staphylococci (skin), Gram-negative ... difficile (gut) • Fungi ... Adenovirus, RSV • Fungi ... reactivation), RSV • Fungi ... differential #diagnosis #causes
Causes of blood culture negative infective endocarditis Bartonella spp, Brucella spp, Coxiella burnetii, Chlamydia spp, Tropheryma whipplei,
Causes of blood ... culture negative ... Tropheryma whipplei, Fungi ... febrilepodcast] #BCNIE #Causes ... #culture #negative
Pulmonary Infections in HIV-AIDS Bacterial: • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Pulmonary Infections ... > 200: Endemic fungi ... Aspergillus spp, Endemic fungi ... • CD4 < 200: Pulmonary ... ID_fellows #Pulmonary
Microbial Resistance to Disinfectants Most Resistant -> Least Resistant - Bacterial Spore - Mycobacteria - Small, non-enveloped viruses - Fungi - Gram
non-enveloped viruses - Fungi ... - Gram Negative
Blood Culture-Negative Infective Endocarditis (BCNIE) Definition: No etiology found after 3 separate blood cultures remain negative for
Blood Culture-Negative ... fastidious bacteria or fungi ... but important causes ... Tropheryma whipplei, Fungi ... bacteria) and 18S ( fungi
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