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Updated (2023) Modified Duke Criteria for Infective Endocarditis: Infective endocarditis (IE) is a life-threatening condition and the Duke criteria (established in 1994 and revised in 2000) has been fundamental for the diagnosis of the disease. However, the landscape of micro-biology, diagnostics, epidemiology, and treatment for lE has evolved ...
Infective endocarditis is an infection of the inner surface of the heart, usually the valves. [3] Symptoms may include fever, small areas of bleeding into the skin, heart murmur, feeling tired, and low red blood cells. [3] Complications may include valvular insufficiency, heart failure, stroke, and kidney failure. [4] [3]
Subacute bacterial endocarditis; Other names: Endocarditis lenta: Vegetation of tricuspid valve by ECHO: Specialty: Cardiology Symptoms: Malaise, weakness [1] Causes: Streptococcus mutans, mitis, sanguis or milleri bacteria [2] [3] Diagnostic method: Blood culture specimens over 24-hour period/analysis [4] Treatment: Intravenous penicillin [2]
The nodes are commonly indicative of subacute bacterial endocarditis. [3] 10–25% of endocarditis patients will have Osler's nodes. [4] Other signs of endocarditis include Roth's spots and Janeway lesions. The latter, which also occur on the palms and soles, can be differentiated from Osler's nodes because they are non-tender. [2]
ICD-10 is the 10th revision of the International Classification of Diseases (ICD), a medical classification list by the World Health Organization (WHO). It contains codes for diseases, signs and symptoms, abnormal findings, complaints, social circumstances, and external causes of injury or diseases. [1]
Intracranial mycotic aneurysms (ICMAs) complicate about 2% to 3% of infective endocarditis (IE) cases, although as many as 15% to 29% of patients with IE have neurologic symptoms. [3] Staphylococcus and Salmonella spp are the most common organisms that cause mycotic aneurysms.
The ICD-10 Clinical Modification (ICD-10-CM) is a set of diagnosis codes used in the United States of America. [1] It was developed by a component of the U.S. Department of Health and Human services, [ 2 ] as an adaption of the ICD-10 with authorization from the World Health Organization .
Differential diagnosis Osler's nodes Janeway lesions are rare, non- tender , small erythematous or haemorrhagic macular , papular or nodular lesions on the palms or soles only a few millimeters in diameter that are associated with infective endocarditis and often indistinguishable from Osler's nodes .