Culture Negative Infective Endocarditits: a Changing Paradigm.

Daly, A; Redmond, J M; Hannan, M M

Daly, A; Redmond, J M; Hannan, M M.

Afiliación

Daly A; Department of Cardiothoracic Surgery, Mater Misercordiae University Hospital, Eccles St, Dublin 7.
Redmond JM; Department of Cardiothoracic Surgery, Mater Misercordiae University Hospital, Eccles St, Dublin 7.
Hannan MM; Department of Microbiology, Mater Misercordiae University Hospital, Eccles St, Dublin 7.

Ir Med J ; 109(5): 409, 2016 May 10.

Article en En | MEDLINE | ID: mdl-27685880

RESUMEN

Traditionally, the modified Duke's criteria, based primarily on positive blood cultures, is used to diagnose Infective Endocarditis (IE). However, reports demonstrate that 31% of cases are diagnosed as Culture Negative Infective Endocarditis (CNIE)1. Consequently, empiric broad-spectrum antibiotics are prescribed to cover unidentified organisms and, as a result, antibiotic therapy may be compromised. Molecular diagnostic techniques aid with identifying causative organisms in cases of CNIE and we question if the increasing use of such technologies will change the local epidemiology of CNIE. We present the first case of Tropheryma whipplei Infective Endocarditis (TWIE) reported in Ireland.

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Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Prognostic_studies Idioma: En Revista: Ir Med J Año: 2016 Tipo del documento: Article Pais de publicación: Irlanda

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