Endocarditis (infective)

Keywords: Endocarditis infective

Key Information

Appropriate Tests

Initial assessment (diagnosis) and monitoring

Three sets of Blood culture should be taken. Each set of Blood culture should be collected by a separate venepuncture with about 30 minutes between eah collection.

MCS urine.

Full blood count, Blood film; C-Reactive protein or Erythrocyte sedimentation rate.

Diagnostic imaging may also support or confirm the diagnosis of endocarditis. 

If blood culture positive

MIC susceptibility (minimum inhibitory concentration) of chosen antibiotics.

If blood culture negative

A number of organisms, especially Coxiella burnetii, Legionella spp, Chlamydia spp, Mycoplasma spp do not grow in blood cultures.

Q Fever Ab, Legionella Ab, Chlamydia Ab, Bartonella Ab, Mycoplasma pneumoniae Ab, Blood culture for mycobacteria.

Molecular genetics - microbial.

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