Endocarditis other imaging findings: Difference between revisions
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Ahmed Zaghw (talk | contribs) Created page with "__NOTOC__ {{Endocarditis}} {{CMG}}; {{AE}} {{AZ}} ==Other Tests== The following tests should be tailored according to the patient symptoms and signs. ====Abdominal CT==== ..." |
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The following tests should be tailored according to the patient symptoms and signs. | The following tests should be tailored according to the patient symptoms and signs. | ||
====Abdominal CT==== | ====Abdominal CT / MRI==== | ||
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> | |||
====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>==== | ====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>==== | ||
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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]
Other Tests
The following tests should be tailored according to the patient symptoms and signs.
Abdominal CT / MRI
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%.[1]
Brain MRI / MRA[1]
MRI can be used to detect the acute septic embolization in acute infective endocaditis, which can affect the management plan.[2] Also both brain MRI/MRA or brain CT/CTA can provide sufficient information to identify and monitor intracranial aneurysms.[1]
References
- ↑ 1.0 1.1 1.2 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)