Clinical impact of transesophageal echocardiography in the diagnosis and management of infective endocarditis

Lowry, Richard W.; Zoghbi, William A.; Baker, William B.; Wray, Richard; Quiñones, Miguel Á.

doi:10.1016/0002-9149(94)90288-7

Cited by 93 publications

(24 citation statements)

References 6 publications

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“…First of all, in addition to the complicated diagnosis of IE because of negative blood cultures [4] or inconclusive echocardiography [5], this nonclassical presentation of recurrent fever episodes [6] is important as it delays diagnosis, which can result in high morbidity and mortality. Therefore, it is important that IE remains in the differential diagnosis even though diagnostics are contraindicating.…”

Section: Discussionmentioning

confidence: 99%

Fungal endocarditis after transfemoral aortic valve implantation

Head

Dewey

Mack

2011

Cathet Cardio Intervent

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Transcatheter aortic valve implantation (TAVI) was introduced in 2006 as an alternative for surgical aortic valve replacement (SAVR) as treatment for patients with aortic stenosis. Endocarditis after TAVI has been anecdotally reported, but concerns aroused because SAVR is often needed to explant the endocarditic valve in a high risk patient previously deemed not to be a surgical candidate. We report a case of a patient who underwent TAVI because he was too high risk to undergo SAVR. Several months later, he developed an intermittent self-limiting fever of unknown origin which eventually was diagnosed as endocarditis. The valve was surgically removed, and pathology showed an infection caused by Histoplasma capsulatum. The patient recovered fully and remains in good condition.

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Section: Discussionmentioning

confidence: 99%

Fungal endocarditis after transfemoral aortic valve implantation

Head

Dewey

Mack

2011

Cathet Cardio Intervent

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“…They found the negative predictive value for a TEE exam to range from 86% to 97% [45,46]. These two studies demonstrate that a negative TEE exam virtually rules out IE.…”

Section: Echocardiographymentioning

confidence: 82%

Echocardiography for the diagnosis of Staphylococcus aureus infective endocarditis

Chamis

Gesty‐Palmer

Fowler

et al. 1999

Curr Infect Dis Rep

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Staphylococcus aureus bacteremia (SAB) is a serious and growing problem. A longstanding controversy in infectious diseases has centered around the duration of therapy for patients with SAB. Fortunately, the refinement of echocardiography and the creation of new diagnostic criteria have aided in the diagnosis of infective endocarditis in patients with SAB. These advancements have resulted in the development of an algorithm that combines clinical, microbiologic, and echocardiographic findings to stratify patients with SAB into different treatment regimens.

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“…Also, a negative TEE significantly decreases the likelihood of infective endocarditis in prosthetic valves, with a negative predictive value of about 90% [16].…”

Section: Role Of Echocardiography In Diagnosismentioning

confidence: 98%