Frederick L. Porkolab, MD; David L. Weinbaum, MD; David B. Lerberg, MD; John C. Phillips, MD
Porkolab FL, Weinbaum DL, Lerberg DB, Phillips JC. The Source of Recurrent Bacteremia Identified by Trans-esophageal Echocardiography. Ann Intern Med. 1990;112:628-629. doi: 10.7326/0003-4819-112-8-628
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Published: Ann Intern Med. 1990;112(8):628-629.
Patients with Staphylococcus aureus bacteremia can be divided into two groups (1). Patients in the group with a recognizable primary site of infection tend to be older with significant, underlying medical disorders and recent hospitalizations. These patients are more easily cured. Patients in the other group, with no identifiable site of primary infection, are usually younger, commonly abuse intravenous drugs, and often have endocarditis.
Conventional transthoracic echocardiography can help in the positive diagnosis of endocarditis. However, it has limited sensitivity, especially for smaller vegetations. We report the case of a patient whose source of endocarditis was revealed only by trans-esophageal
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Cardiac Diagnosis and Imaging, Cardiology.
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