Endocarditis - Diagnosis and Management Summary

What is it? Inflammation of endocardium, typically secondary to infection of heart valves

    - most commonly affects Aortic valve (tricuspid in IVDU)

Risk Factors: IVDU, hemodialysis, immunocompromise, indwelling lines, prosthetic/cardiac valve disease

Presentation: ranges from asymptomatic to septic/cardiogenic shock

    - Vascular (septic emboli, Janeway lesions, splinter hemorrhages, murmurs)

    - Immunologic (Osler nodes, Roth spots)

Diagnosis: Duke Criteria (2 Major OR 1 Major & 3 Minors OR 5 Minor)

    Major: +Blood Cx w/ typical bacteria, ECHO w/ vegetation/abscess, new valvular regurgitation

    Minor: predisposition/lVDU, Fever, Vascular phenomena, Immunologic phenomena, ECHO findings not included above, + Blood Cx for atypical endocarditis organisms



- MH/CCF/CWRU EM Res @MetroHealth_EM



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