26 results
Duke's Criteria for Infective Endocarditis
Definite IE - Pathologic Criteria:
 • Pathologic lesions - vegetation or intracardiac
for Infective Endocarditis ... demonstrating active endocarditis ... demonstrated by culture ... Predisposition • Fever ... criteria #Infective #Endocarditis
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... suspect right-sided endocarditis ... • Persistent fever ... Internet Book of Critical ... Care #Endocarditis
Janeway Lesions in Endocarditis seen on Physical Exam 

Dr Supradip Ghosh
@dr_supradip

36 year old male with history
left hemiplegia, fevers ... Blood cultures growing ... with persistent fever ... - Clinical examination ... #PhysicalExam #clinical
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Hypercoagulable (APLAS) Microbiology ... : Blood cultures ... night sweats, fever ... • Blood cultures ... Persistent bacteremia/fevers
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
high index of clinical ... Hypercoagulable states • Clinical ... features: Fever ... indwelling catheters • Clinical ... features: Fever
Fusarium on Culture and Microscopy
Collecting a sample for culture from the eye is never fun, but
Fusarium on Culture ... from the eye is never ... positive fungal culture ... #Microscopy #clinical ... #microbiology
Spinal Epidural Abscess - Illness Script
Epidemiology:
 - Patients at risk for bacteremia: IVDU, dental abscess, HD
, HD catheter, endocarditis ... Alcoholism, DM, HIV Microbiology ... most common (63%) Clinical ... but rare triad: Fever ... source: blood cultures
Osler's Nodes in a patient with infective endocarditis

67yo presents with R occipital intraparenchymal hemorrhage (IPH) attributed
with infective endocarditis ... Pt develops fever ... Blood cultures ( ... phenomena due to endocarditis ... #clinical #photo
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Endocarditis - Overview ... Hypercoagulable (APLAS) Microbiology ... : Blood cultures ... night sweats, fever ... Persistent bacteremia/fevers
Capnocytophaga
Pathogen: Capnocytophaga
 • 9 species, C. canimorsus responsible for the majority of infections
 • Gram-negative rod,
• Cellulitis: Fever ... 13%), Pneumonia, Endocarditis ... microorganism (Culture ... Capnocytophaga #canimorsus #microbiology