Microbiology 26 - Infective endocarditis (path guide not lectures) Flashcards
1
Q
Recall some risk factors for infective endocarditis
A
Dental PMH RhF Congenital heart disease Valve replacement Long term lines
2
Q
Recall some signs of SUBACUTE infective endocarditis that wouldn’t be seen in its acute form
A
Janeway lesions
Roth spots
Splenomegaly
Splinter haemorrhages
3
Q
Recall the major criteria in the Duke Classificiation for infective endocarditis
A
Persistent bacteraemia
Echo findings (vegetations seen)
Positive serology
4
Q
What is the most likely pathogen in subacute infective endocarditis?
A
Strep viridians
5
Q
What is the most likely pathogen in acute infective endocarditis?
A
CoNS
6
Q
Which valve is most likely to be affected in infective endocarditis in an IV drug user?
A
Tricuspid in 50%
7
Q
What is the most important investigation to order in susected infective endocarditis?
A
3 blood cultures taken from 3 DIFFERENT sites
