Infective endocarditis: Difference between revisions
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m (Aidan moved page Infective Infective endocarditis (IE) to Infective endocarditis without leaving a redirect) |
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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]]'' |
− | * Viridans group streptococci |
+ | * [[Viridans group streptococci]] |
− | * Coagulase-negative staphylococci |
+ | * [[Coagulase-negative staphylococci]] |
* Other streptococci |
* Other streptococci |
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− | * Enterococci |
+ | * [[Enterococci]] |
− | * HACEK group |
+ | * [[HACEK group]] |
− | * Fungi |
+ | * [[Fungi]] |
− | + | = Presentation = |
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− | * [Modified Duke criteria] |
+ | * [[Modified Duke criteria]] |
* 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]] |
+ | ** 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]] |
− | ** OR |
+ | ** OR [[Vancomycin]]/[[Daptomycin]], other things |
− | + | * 6 weeks |
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+ | [[Category:Cardiac infections]] |
Revision as of 23:32, 14 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