A 30-year-old woman with a history of intravenous drug use presents with fever and malaise. Blood cultures grow Staphylococcus aureus. Transthoracic e...

Question

A 30-year-old woman with a history of intravenous drug use presents with fever and malaise. Blood cultures grow Staphylococcus aureus. Transthoracic echocardiogram is equivocal. What is the most appropriate next step to evaluate for infective endocarditis?

Accepted Answer

Transesophageal echocardiogram

Answer

Repeat transthoracic echocardiogram in 1 week

Answer

Cardiac MRI

Answer

No further imaging is needed

Answer

Coronary angiography

us-abim MCQ (SBA): Infective endocarditis evaluation

A 30-year-old woman with a history of intravenous drug use presents with fever and malaise. Blood cultures grow Staphylococcus aureus. Transthoracic echocardiogram is equivocal. What is the most appropriate next step to evaluate for infective endocarditis?