My Patient with Infective Endocarditis (IE) Has Negative Blood Cultures
- Did they receive antibiotics prior to cultures?
-> Decreased yield due to antibiotic therapy - Number one cause of culture negative IE
- Could they have a fastidious bacteria? Eg: C. burnetii , Bartonella, Brucella, Tropheryma
-> Serological Testing
- Could this be a non-bacterial pathogen? Fungal (Histoplasma/Aspergillus) / Mycobacterial etc.
-> Serological Testing
- Is the patient a surgical candidate?
-> Serological Testing
-> Histopathology
Dr. Ahmed Babiker @Ahmed_HBabiker
#Infective #Endocarditis #Negative #BloodCultures #Diagnosis #Management #Algorithm