Infective endocarditis: Difference between revisions
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= Infective endocarditis (IE) = |
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See also [IDSA: IE Management 2015](/Infectious Diseases/IDSA Guidelines/IE Management 2015/IE Management 2015.md) |
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* Infection of heart valves |
* Infection of heart valves |
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= Organisms = |
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* ''Staphylococcus aureus'' |
* ''[[Staphylococcus aureus]]'' |
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* Viridans group streptococci |
* [[Viridans group streptococci]] |
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* Coagulase-negative staphylococci |
* [[Coagulase-negative staphylococci]] |
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* Other streptococci |
* Other streptococci |
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* Enterococci |
* [[Enterococci]] |
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* HACEK group |
* [[HACEK group]] |
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* Fungi |
* [[Fungi]] |
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= Presentation = |
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* [Modified Duke criteria] |
* [[Modified Duke criteria]] |
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* IVDU: Viridans group streptococci and ''Pseudomonas aeroginosa'' |
* IVDU: Viridans group streptococci and ''Pseudomonas aeroginosa'' |
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* Colon cancer: ''Streptococcus bovis'' and ''Clostridium septicum'' |
* Colon cancer: ''Streptococcus bovis'' and ''Clostridium septicum'' |
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= Treatment = |
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* MSSA native valve endocarditis |
* MSSA native valve endocarditis |
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** Cloxacillin or cefazolin |
** [[Cloxacillin]] or [[cefazolin]] |
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** OR [[Vancomycin]]/[[Daptomycin]] |
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** OR vanco/dapto |
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* MSSA prosthetic valve endocarditis |
* MSSA prosthetic valve endocarditis |
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** |
** [[Cloxacillin]] PLUS [[rifampin]] PLUS 2 weeks of [[gentamicin]] |
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** OR |
** OR [[Vancomycin]]/[[Daptomycin]], other things |
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* 6 weeks |
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[[Category:Cardiac infections]] |
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Revision as of 03:32, 15 August 2019
Diagnosis
- Infection of heart valves
Organisms
- Staphylococcus aureus
- Viridans group streptococci
- Coagulase-negative staphylococci
- Other streptococci
- Enterococci
- HACEK group
- Fungi
Presentation
- Modified Duke criteria
- IVDU: Viridans group streptococci and Pseudomonas aeroginosa
- Colon cancer: Streptococcus bovis and Clostridium septicum
Treatment
- MSSA native valve endocarditis
- MSSA prosthetic valve endocarditis
- Cloxacillin PLUS rifampin PLUS 2 weeks of gentamicin
- OR Vancomycin/Daptomycin, other things
- 6 weeks