Endocarditis other imaging findings: Difference between revisions
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== | ==Overview== | ||
[[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]]. | |||
==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 [[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 acute septic embolization in acute infective | ===Brain MRI/MRA=== | ||
Also both brain MRI/MRA and brain 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> | |||
*[[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== | ||
Latest revision as of 22:35, 5 March 2020
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Endocarditis Microchapters |
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Diagnosis |
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Treatment |
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2014 AHA/ACC Guideline for the Management of Patients With Valvular Heart Disease |
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Case Studies |
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Endocarditis other imaging findings On the Web |
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Risk calculators and risk factors for Endocarditis other imaging findings |
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
- 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]
References
- ↑ 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)