Infective Endocarditis (IE)

Last updated 20.09.12

 

Definition

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Assocaited S/S

- Murmur

- Cardiomegaly

 

Dx: Dukes Criteria

-  2 major or 1 major + 3 minor or 5 minor

-  Major

-  Positive Blood culture x2 w typical micro

-  Endocardial involvement on Echo

-  New valvular regurgitation (murmur or Echo)

-  Minor

-  Predisposing heart disease or IVDU

-  Fever>38

-  Vascular phenomenon: emboli, pulmonary infarcts, mycotic aneurysms, Janeway lesions, conjunctival or intracranial haemorrhages

-  Immunologica phenomenon: GN, Oslers nodes, Roths spots, RF

-  Microbial evidence

-  Echo findings consistent with IE but as Major

   

 

 

References