Endocarditis - Diagnosis and Management Summary
What is it? Inflammation of endocardium, typically secondary to infection of heart valves
- most commonly affects Aortic valve (tricuspid in IVDU)
Risk Factors: IVDU, hemodialysis, immunocompromise, indwelling lines, prosthetic/cardiac valve disease
Presentation: ranges from asymptomatic to septic/cardiogenic shock
- Vascular (septic emboli, Janeway lesions, splinter hemorrhages, murmurs)
- Immunologic (Osler nodes, Roth spots)
Diagnosis: Duke Criteria (2 Major OR 1 Major & 3 Minors OR 5 Minor)
Major: +Blood Cx w/ typical bacteria, ECHO w/ vegetation/abscess, new valvular regurgitation
Minor: predisposition/lVDU, Fever, Vascular phenomena, Immunologic phenomena, ECHO findings not included above, + Blood Cx for atypical endocarditis organisms
- MH/CCF/CWRU EM Res @MetroHealth_EM
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