Imagenes

Question 1

S. aureus bacteremia

Answer 1

routine echocardiography is justified in this the frequency of IE in this setting and of the virulence of this organism, and its devastating effects

Question 2

Criterios mayores ecográficos

Answer 2

vegetation, abscess, and new dehiscence of a prosthetic valve

Question 3

The sensitivity of TTE ranges from (*) and that of TEE

from (*)

Answer 3

• 40 to 63%

- 90 to 100%

Question 4

Appearances resembling vegetations may be seen in

Answer 4

degenerative or myxomatous valve disease, systemic lupus (inflammatory Libman – Sacks lesions), and rheumatoid disease, primary antiphospholipid syndrome, valvular thrombus, advanced malignancy (marantic endocarditis), chordal rupture, and in association with small intracardiac tumours (typically fibroelastomata).

Question 5

In cases with an initially negative examination, repeat TTE/TEE must be performed

Answer 5

7–10 days later if the clinical level of suspicion is still high, or even earlier in case of S. aureus infection Additional
echocardiographic study is seldom helpful, with little additional information derived after the second or third assessment.