ICU SAQs · Cardiovascular / infection
Infective endocarditis — diagnosis and management
A CICM SAQ on IE — the Duke criteria, the organisms (S. aureus), the echo, the 4-6 week IV antibiotics, and the surgical indications (heart failure, uncontrolled infection, large vegetation, embolism).
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Prompt
A 55-year-old IV drug user presents with fever, a new diastolic murmur, and Staphylococcus aureus in 3 blood cultures. Outline the diagnosis, the management, and the indications for surgery.
Question
A 55-year-old IV drug user presents with fever, a new diastolic murmur, and Staphylococcus aureus in 3 blood cultures. Outline the diagnosis, the management, and the indications for surgery.
References3ShowHide
- [1]Li JS, Sexton DJ, Mick N, et al. Proposed modifications to the Duke criteria for the diagnosis of infective endocarditis Clin Infect Dis, 2000.PMID 10770721
- [2]Fowler VG Jr, Miro JM, Hoen B, et al. Staphylococcus aureus endocarditis: a consequence of medical progress JAMA, 2005.PMID 15972563
- [3]Kang DH, Kim YJ, Kim SH, et al. Early surgery versus conventional treatment for infective endocarditis N Engl J Med, 2012.PMID 22738096