Infective endocarditis: Difference between revisions

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

Revision as of 23:32, 14 August 2019

Diagnosis

  • Infection of heart valves

Organisms

Presentation

  • Modified Duke criteria
  • IVDU: Viridans group streptococci and Pseudomonas aeroginosa
  • Colon cancer: Streptococcus bovis and Clostridium septicum

Treatment