Tip of the iceberg: extracardiac CT findings in infective endocarditis.

M E Greer, N Ghuman, P T Johnson, S L Zimmerman, E K Fishman, J Facciola, Javad R Azadi

Abstract readReview

In one paragraph

Review in Emergency radiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

M E GreerSchool of Medicine, Georgetown University, Washington, DC, USA.

N GhumanRussell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins University School of Medicine, 1800 Orleans St, Zayed 4030, Baltimore, MD, USA.

P T JohnsonRussell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins University School of Medicine, 1800 Orleans St, Zayed 4030, Baltimore, MD, USA.

S L ZimmermanRussell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins University School of Medicine, 1800 Orleans St, Zayed 4030, Baltimore, MD, USA.

E K FishmanRussell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins University School of Medicine, 1800 Orleans St, Zayed 4030, Baltimore, MD, USA.

J FacciolaRussell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins University School of Medicine, 1800 Orleans St, Zayed 4030, Baltimore, MD, USA.

Javad R AzadiRussell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins University School of Medicine, 1800 Orleans St, Zayed 4030, Baltimore, MD, USA. jazadi1@jhmi.edu.ORCID http://orcid.org/0000-0003-2397-9648

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Infective endocarditis (IE) is a disease with high morbidity and mortality rate, but diagnosis is confounded by diverse clinical presentations, which mimic other pathologies. A history of illicit intravenous drug use, previous cardiac valve surgery, and indwelling intracardiac devices increases the risk for developing infective endocarditis. The modified Duke criteria serve as the standard diagnostic tool, though its accuracy is reduced in certain cases. Radiologists in the Emergency Room setting reading body CT may be the first to identify the secondary extra-cardiac complications and facilitate expeditious management by considering otherwise unsuspected infective endocarditis. This review highlights common extracardiac complications of IE and their corresponding CT findings in the chest, abdomen, pelvis, and brain. If IE is suspected radiologists should suggest further investigation with echocardiography.

Indexed as

EndocarditisTomography, X-Ray ComputedDiagnosis, DifferentialHumans

Identifiers

PMID38941027

DOI10.1007/s10140-024-02257-7

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.