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Crit Care Clin. 2013 Oct;29(4):923-51. doi: 10.1016/j.ccc.2013.06.011. Epub 2013 Aug 17.

Infective endocarditis in the intensive care unit.

Author information

  • 1Department of Internal Medicine, University of Manitoba, Manitoba, Canada; Department of Medical Microbiology, University of Manitoba, Manitoba, Canada; Department of Community Health Sciences, University of Manitoba, Manitoba, Canada. Electronic address: keynany@yahoo.com.


Infective endocarditis has many facets and various expressions depending on the site of infection, microorganism, underlying heart lesion, immune status of the host, and remote effects such as emboli, organ dysfunction, and the condition of the host. Diagnosis depends on meticulous clinical examination, blood cultures results, and echocardiographic findings. The management of the patient with endocarditis in the intensive care unit is complex and needs a multidisciplinary team, including an intensivist, cardiologist, experienced echocardiologist, infectious diseases specialist, and cardiac surgeon. The medical and surgical management of such patients is complex, and timely decisions are important.

Copyright © 2013 Elsevier Inc. All rights reserved.


Diagnosis; Echocardiography; Endocarditis; ICU; Infection site

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