How is endocarditis diagnosed?

Fever, murmur. It is difficult to know for sure some times but if there is fever with elevated sedimentation rate with a positive blood clture in a patient with a murmur an abnormal heart valve which may or may not cause congestive heart failure. An echocardiogram. May show the vegetations in the valve. The history helps...Most common in HIV patients IV drug users, or elderly pts.
Blood culture, echo. Transesophageal echocardiogram (tee) is the most common test in patients with persistent positive blood cultures and risk factors for endocarditis. Tee is minimally invasive echo ( ultrasound) of the heart done through the mouth-esophagus; takes 10-20 min under sedation.

Related Questions

How can endocarditis be diagnosed?

Clinical findings. Endocarditis is an inflammation of the inside lining of the heart and often caused by a bacterial infection. It can be acute or subacute. The diagnosis is not made by any one test. Clinical examination can show certain physical features. Blood culture can identify a blood infection. Ecg and cardiac ultrasound can be useful to evaluate effects of the infection on the heart valves and muscle. Read more...

How is bacterial endocarditis diagnosed? Have splinter hemorrhages but I can rule out renal failure, trichinosis, psoriasis, and pityriasis pilaris.

ABE / SBE. Suspected by clinical history / exam. Diagnosed by transesophageal echocardiogram and blood cultures. Splinter hemorrhages are common and much much more likely related to trauma than to SBE or ABE. Read more...