Modified Duke Criteria (1)[B] (definite: 2 major criteria, or 1 major and 3 minor criteria, or 5 minor criteria; possible: 1 major and 1 minor or 3 minor criteria)
Major clinical criteria
Pos...
Start empiric treatment after three sets of blood cultures have been drawn. Results guide treatment.
Native valves: ampicillin-sulbactam IV with gentamicin IV/IM. If penic...
Baseline ECG; monitor ECG for conduction disturbances/MI in initial weeks of therapy.
TTE at the conclusion of therapy
Blood cultures q48h until n...
I33.0 Acute and subacute infective endocarditis
I39 Endocarditis and heart valve disord in dis classd elswhr
A54.83 Gonococcal heart infection
B37.6 Candidal endocarditis
233850007 infect...
Preprocedural antibiotic prophylaxis is recommended for patients with artificial heart valves, a previous history of IE, CHD, and cardiac transplants with valvulopathy.
TEE/TTE and bloo...
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<bold><italic>FIGURE 11.94.</bold></bold> Transesophageal echocardiogram recording a transverse view in a patient with mitral valve endocarditis and a perforation of the anterior leaflet. <bold>A:</bold> Note the distinct break in the continuity of the anterior leaflet (<italic>arrow</bold>), with remnants of mitral valve tissue protruding into the left atrium (<italic>LA</bold>). <bold>B:</bold> Note the distinct convergence zone directed through the defect in the anterior leaflet (<italic>left arrow</bold>) and a lesser degree of mitral...
<bold><italic>FIGURE 11.94.</bold></bold> Transesophageal echocardiogram recording a transverse view in a patient...
Bacterial endocarditis. The mitral valve shows destructive vegetations, which have eroded through the free margins of the valve leaflets.
Bacterial endocarditis. The aortic valve of an intravenous drug abuser displays adherent vegetations.
<bold><italic>FIGURE 13.1.</bold></bold> An example of vegetations involving the mitral and aortic valves is shown. The vegetations are indicated by the arrows. LA, left atrium; LV, left ventricle.
<bold><italic>FIGURE 13.1.</bold></bold> An example of vegetations involving the mitral and aortic valves is shown....