Infective Endocarditis

Question 1

Risk factors for Infective Endocarditis

Answer 1

IV Drug user, repeat access(dialysis), valvular dmg, hx of endocarditis

Question 2

Persistent bacteremia, new murmer in pt

Dx? + MCC

Answer 2

acute endocarditis, usually strep pneumo or staph

+/- valve destruction

Question 3

pt w/long standing murmer, roth spots on eyes, janeway lesions, splinter hemorrhages, osler nodes(disal digit pulp) dx? MCC?

Answer 3

subacute endocarditis, S.bovis, S. viridans, HACEK

Question 4

Dx of endocarditis?

Answer 4

Echo, Blood Culture then TEE

Question 5

Tx for endocarditis?

Answer 5

Surgery + Abx
Native Valve: Vanco
Prosthetic Valve <60d: Vanco, Gent + Cefepime
Prosthetic Valve 60d-1y: Vanco + gent
Prosthetic valve 1y+: Vanco+gent+ceftriaxone

Question 6

Tx for endocarditis of native valve?

Answer 6

Vanco

Question 7

Tx for endocarditis Prosthetic Valve <60d?

Answer 7

Vanco + Gent + Cefepime

Question 8

Tx for endocarditis Prosthetic Valve 60d-1y?

Answer 8

Vanco + gent

Question 9

Tx for endocarditis Prosthetic valve 1y+?

Answer 9

vanco + gent + ceftraxone

Question 10

what would u give to a person undergoing dental surgery w/congenital valve defect for endocarditis prophylaxis?

Answer 10

Amox or Ceftaz

Question 11

endocarditis bug in person who is a drug user?

Answer 11

Staph Aureus

Question 12

endocarditis bug in person who has colon cancer?

Answer 12

Strep bovis

Question 13

endocarditis bug in person who has gingival implants?

Answer 13

Viridens

Question 14

endocarditis bug in person w/UTI Nosocomial?

Answer 14

Enterococci

Question 15

endocarditis bug in person w/ mouth/peridontal infection?

Answer 15

E. Corrodens