Infective endocarditis: Beyond the usual tests

Nkemdilim Mgbojikwe^{1

2}, Steven R Jones^{3

4}, Thorsten M Leucker^{5

6}, Daniel J Brotman^{7

8}

Affiliations

¹ Assistant Professor of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
² Assistant Director of Clinical Operations, Hospitalist Program, The Johns Hopkins Hospital, Baltimore, MD, USA. nmgboji1@jhmi.edu.
³ Associate Professor of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
⁴ Director, Inpatient Cardiology, Johns Hopkins Heart and Vascular Institute, Baltimore, MD, USA.
⁵ Assistant Professor of Medicine, Division of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
⁶ Director of Basic and Translational Vascular Biology Research within the Johns Hopkins Ciccarone Center for the Prevention of Heart Disease, Baltimore, MD, USA.
⁷ Professor of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
⁸ Director, Hospitalist Program, The Johns Hopkins Hospital, Baltimore, MD, USA.

PMID: 31385793
DOI: 10.3949/ccjm.86a.18120

Free article

Review

Infective endocarditis: Beyond the usual tests

Nkemdilim Mgbojikwe et al. Cleve Clin J Med. 2019 Aug.

Free article

. 2019 Aug;86(8):559-567.

doi: 10.3949/ccjm.86a.18120.

Authors

Nkemdilim Mgbojikwe^{1

2}, Steven R Jones^{3

4}, Thorsten M Leucker^{5

6}, Daniel J Brotman^{7

8}

Affiliations

¹ Assistant Professor of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
² Assistant Director of Clinical Operations, Hospitalist Program, The Johns Hopkins Hospital, Baltimore, MD, USA. nmgboji1@jhmi.edu.
³ Associate Professor of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
⁴ Director, Inpatient Cardiology, Johns Hopkins Heart and Vascular Institute, Baltimore, MD, USA.
⁵ Assistant Professor of Medicine, Division of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
⁶ Director of Basic and Translational Vascular Biology Research within the Johns Hopkins Ciccarone Center for the Prevention of Heart Disease, Baltimore, MD, USA.
⁷ Professor of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
⁸ Director, Hospitalist Program, The Johns Hopkins Hospital, Baltimore, MD, USA.

PMID: 31385793
DOI: 10.3949/ccjm.86a.18120

Abstract

Infective endocarditis remains a diagnostic challenge. Although echocardiography is still the mainstay imaging test, it misses up to 30% of cases. Newer imaging tests--4-dimensional computed tomography (4D CT), fluorodeoxy-glucose positron emission tomography (FDG-PET), and leukocyte scintigraphy--are increasingly used as alternative or adjunct tests for select patients. They improve the sensitivity of clinical diagnosis of infective endocarditis when appropriately used, especially in the setting of a prosthetic valve.

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Comment in

Deciding when a picture is worth a thousand words and several thousand dollars.
Mandell BF. Mandell BF. Cleve Clin J Med. 2019 Aug;86(8):509-510. doi: 10.3949/ccjm.86b.08019. Cleve Clin J Med. 2019. PMID: 31385785 No abstract available.
Infective endocarditis: Don't forget the ICE.
Araj FG, Luna M. Araj FG, et al. Cleve Clin J Med. 2020 Apr;87(4):191. doi: 10.3949/ccjm.87c.04001. Cleve Clin J Med. 2020. PMID: 32238369 No abstract available.

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Infective endocarditis: Beyond the usual tests

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Infective endocarditis: Beyond the usual tests

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