Ultrasound for critical care physicians: right diagnosis, wrong place

• Main Author: Raschke RA
• Format: Article
• Language: English
• Published: Arizona Thoracic Society 2013-10-01
• Series: Southwest Journal of Pulmonary and Critical Care
• Subjects: heart; ultrasound; endocarditis; mitral valve; aortic valve replacement; Enterococcus faecalis; bacteremia; diastolic murmur; prosthetic valve
• Online Access: http://www.swjpcc.com/critical-care/2013/10/4/ultrasound-for-critical-care-physicians-right-diagnosis-wron.html

No abstract available. Article truncated after first page. The patient was a 76 year old man, with a history of a prosthetic aortic valve (aortic stenosis) and chronic myelogenous leukemia. He presented with fever and cough, and was found to have pneumonia with Klebsiella pneumonia cultured from a BAL. However, he also had persistent Enterococcus faecalis bacteremia and a new 3/6 diastolic murmur. An ultrasound of the heart was performed (Figures 1 and 2). Which of the following is the likely diagnosis? 1. Aortic dissection 2. Aortic valve endocarditis 3. Displacement of the aortic valve 4. Mitral valve endocarditis 5. Tricuspid endocarditis …