Endocarditis other imaging findings: Difference between revisions

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{{Endocarditis}}
{{Endocarditis}}
{{CMG}}; {{AE}} {{AZ}}
{{CMG}}; {{AE}} {{AZ}} {{Maliha}}


==Other Investigational Tests==
==Overview==
The following tests should be tailored according to the patient symptoms and signs.  
[[Abdomen|Abdominal]] [[Computed tomography|CT]] scan and brain [[Magnetic resonance imaging|MRI]] can be helpful in further investigation of the symptoms that are associated with [[endocarditis]].


==Abdominal CT/MRI==
==Other Imaging Findings==
Abdominal CT is ordered in patient with acute abdominal pain or pain radiating to the back or left upper quadrant to detect the splenic abscess or complicated splenic infaction. Abdominal CT and MRI appear to be the best tests for diagnosing splenic abscess, with both sensitivities and specificities ranging from 90% to 95%.<ref name="Baddour-2005">{{Cite journal  | last1 = Baddour | first1 = LM. | last2 = Wilson | first2 = WR. | last3 = Bayer | first3 = AS. | last4 = Fowler | first4 = VG. | last5 = Bolger | first5 = AF. | last6 = Levison | first6 = ME. | last7 = Ferrieri | first7 = P. | last8 = Gerber | first8 = MA. | last9 = Tani | first9 = LY. | title = 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. | journal = Circulation | volume = 111 | issue = 23 | pages = e394-434 | month = Jun | year = 2005 | doi = 10.1161/CIRCULATIONAHA.105.165564 | PMID = 15956145 }}</ref>
===Abdominal CT/MRI===


==Brain MRI/MRA<ref name="Baddour-2005">{{Cite journal  | last1 = Baddour | first1 = LM. | last2 = Wilson | first2 = WR. | last3 = Bayer | first3 = AS. | last4 = Fowler | first4 = VG. | last5 = Bolger | first5 = AF. | last6 = Levison | first6 = ME. | last7 = Ferrieri | first7 = P. | last8 = Gerber | first8 = MA. | last9 = Tani | first9 = LY. | title = 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. | journal = Circulation | volume = 111 | issue = 23 | pages = e394-434 | month = Jun | year = 2005 | doi = 10.1161/CIRCULATIONAHA.105.165564 | PMID = 15956145 }}</ref>==
* 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 [[Computed tomography|CT]] and [[MRI]] appear to be the best tests for diagnosing splenic [[abscess]], with both sensitivities and specificities ranging from 90% to 95%.<ref name="Baddour-2005">{{Cite journal  | last1 = Baddour | first1 = LM. | last2 = Wilson | first2 = WR. | last3 = Bayer | first3 = AS. | last4 = Fowler | first4 = VG. | last5 = Bolger | first5 = AF. | last6 = Levison | first6 = ME. | last7 = Ferrieri | first7 = P. | last8 = Gerber | first8 = MA. | last9 = Tani | first9 = LY. | title = 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. | journal = Circulation | volume = 111 | issue = 23 | pages = e394-434 | month = Jun | year = 2005 | doi = 10.1161/CIRCULATIONAHA.105.165564 | PMID = 15956145 }}</ref>


MRI can be used to detect the acute septic embolization in acute infective endocaditis, which can affect the management plan.<ref>{{Cite journal  | last1 = Duval | first1 = X. | last2 = Iung | first2 = B. | last3 = Klein | first3 = I. | last4 = Brochet | first4 = E. | last5 = Thabut | first5 = G. | last6 = Arnoult | first6 = F. | last7 = Lepage | first7 = L. | last8 = Laissy | first8 = JP. | last9 = Wolff | first9 = M. | title = Effect of early cerebral magnetic resonance imaging on clinical decisions in infective endocarditis: a prospective study. | journal = Ann Intern Med | volume = 152 | issue = 8 | pages = 497-504, W175 | month = Apr | year = 2010 | doi = 10.7326/0003-4819-152-8-201004200-00006 | PMID = 20404380 }}</ref>
===Brain MRI/MRA===
Also both brain MRI/MRA or brain CT/CTA can provide sufficient information to identify and monitor intracranial aneurysms.<ref name="Baddour-2005">{{Cite journal  | last1 = Baddour | first1 = LM. | last2 = Wilson | first2 = WR. | last3 = Bayer |first3 = AS. | last4 = Fowler | first4 = VG. | last5 = Bolger | first5 = AF. | last6 = Levison | first6 = ME. | last7 = Ferrieri | first7 = P. |last8 = Gerber | first8 = MA. | last9 = Tani | first9 = LY. | title = 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. | journal = Circulation | volume = 111 | issue = 23 | pages = e394-434 | month = Jun | year = 2005 | doi = 10.1161/CIRCULATIONAHA.105.165564 | PMID = 15956145 }}</ref>
 
*[[Magnetic resonance imaging|MRI]] can be used to detect acute septic [[embolization]] in acute infective [[endocarditis]].<ref>{{Cite journal  | last1 = Duval | first1 = X. | last2 = Iung | first2 = B. | last3 = Klein | first3 = I. | last4 = Brochet | first4 = E. | last5 = Thabut | first5 = G. | last6 = Arnoult | first6 = F. | last7 = Lepage | first7 = L. | last8 = Laissy | first8 = JP. | last9 = Wolff | first9 = M. | title = Effect of early cerebral magnetic resonance imaging on clinical decisions in infective endocarditis: a prospective study. | journal = Ann Intern Med | volume = 152 | issue = 8 | pages = 497-504, W175 | month = Apr | year = 2010 | doi = 10.7326/0003-4819-152-8-201004200-00006 | PMID = 20404380 }}</ref>
* Also both brain [[Magnetic resonance imaging|MRI]]/[[Magnetic resonance angiography|MRA]] and brain [[Computed tomography|CT]]/[[CTA]] may be used in the detection and monitoring of intracranial [[aneurysms]].<ref name="Baddour-2005">{{Cite journal  | last1 = Baddour | first1 = LM. | last2 = Wilson | first2 = WR. | last3 = Bayer |first3 = AS. | last4 = Fowler | first4 = VG. | last5 = Bolger | first5 = AF. | last6 = Levison | first6 = ME. | last7 = Ferrieri | first7 = P. |last8 = Gerber | first8 = MA. | last9 = Tani | first9 = LY. | title = 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. | journal = Circulation | volume = 111 | issue = 23 | pages = e394-434 | month = Jun | year = 2005 | doi = 10.1161/CIRCULATIONAHA.105.165564 | PMID = 15956145 }}</ref>


==References==
==References==
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[[Category:Emergency medicine]]
[[Category:Emergency medicine]]
[[Category:Cardiology]]
[[Category:Cardiology]]
[[Category:Infectious disease]]
 
[[Category:Intensive care medicine]]
[[Category:Intensive care medicine]]
[[Category:Up-To-Date]]
[[Category:Up-To-Date]]

Latest revision as of 22:35, 5 March 2020

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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.

Other Imaging Findings

Abdominal CT/MRI

  • 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]

Brain MRI/MRA

References

  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)
  2. 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)

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