Endocarditis other imaging findings

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ahmed Zaghw, M.D. [2] Maliha Shakil, M.D. [3]

Overview

Abdominal CT scan and brain MRI can be helpful in further investigation of the symptoms that are associated with endocarditis.

Abdominal CT scan is ordered in patients with acute abdominal pain or pain radiating to the back or left upper quadrant to detect splenic abscess or complicated splenic infarction.
Abdominal CT and MRI appear to be the best tests for diagnosing splenic abscess, with both sensitivities and specificities ranging from 90% to 95%.^[1]

MRI can be used to detect acute septic embolization in acute infective endocarditis.^[2]
Also both brain MRI/MRA and brain CT/CTA may be used in the detection and monitoring of intracranial aneurysms.^[1]

↑ ^1.0 ^1.1 Baddour, LM.; Wilson, WR.; Bayer, AS.; Fowler, VG.; Bolger, AF.; Levison, ME.; Ferrieri, P.; Gerber, MA.; Tani, LY. (2005). "Infective endocarditis: diagnosis, antimicrobial therapy, and management of complications: a statement for healthcare professionals from the Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease, Council on Cardiovascular Disease in the Young, and the Councils on Clinical Cardiology, Stroke, and Cardiovascular Surgery and Anesthesia, American Heart Association: endorsed by the Infectious Diseases Society of America". Circulation. 111 (23): e394–434. doi:10.1161/CIRCULATIONAHA.105.165564. PMID 15956145. Unknown parameter |month= ignored (help)
↑ Duval, X.; Iung, B.; Klein, I.; Brochet, E.; Thabut, G.; Arnoult, F.; Lepage, L.; Laissy, JP.; Wolff, M. (2010). "Effect of early cerebral magnetic resonance imaging on clinical decisions in infective endocarditis: a prospective study". Ann Intern Med. 152 (8): 497–504, W175. doi:10.7326/0003-4819-152-8-201004200-00006. PMID 20404380. Unknown parameter |month= ignored (help)