Infevtive Endocarditis

Question 1

Antibiotics used for tx of strept. Viridians in Infective endocarditis

Answer 1

Gentamycin + (penicillin if resistant)

Question 2

Antibiotics used for tx of staph in Infective endocarditis

Answer 2

Gentamycin +
.. MSSA & MSSE: Flucloxacillin.
.. MRSA & MRSE: vancomycin.

Question 3

M/C organism to cause Infective endocarditis

Answer 3

Streptococcus viridans

Question 4

Blood culture of a Pt with Infective Endocarditis shows a gram +ve organism ,
What is the most likely organism involved?

Answer 4

Streptococcus viridans

Question 5

Blood culture of a Pt with Infective Endocarditis shows a gram - ve organism,
What is the most likely organism involved?

Answer 5

HACEK group

Question 6

Blood culture of a Pt with Infective Endocarditis shows a gram +ve oranism,
What is the most likely organism involved considering that he has undergone a prosthetic valve replacement in the last 6 months

Answer 6

Staph. Aureus

Question 7

A patient comes with low grade fever, pleuritic chest pain, pericarditis.
He recently recovered from an acute MI.

What is the diagnosis?
Management:
Prognosis :

Answer 7

. Dressler syndrome (Post MI syndrome)
. Tx: colchicine, steroids, NSAIDS
. Prognosis: resolves spontaneously