A 65-year-old man with a prosthetic aortic valve presents with fever and a new systolic murmur. Blood cultures are positive for Staphylococcus aureus....

Question

A 65-year-old man with a prosthetic aortic valve presents with fever and a new systolic murmur. Blood cultures are positive for Staphylococcus aureus. What is the most appropriate management?

Accepted Answer

Prolonged intravenous antibiotics and urgent cardiology/infective endocarditis team review

Answer

Short 5-day course of oral antibiotics in the community

Answer

No antibiotics; prosthetic valves often cause murmurs

Answer

Start aspirin alone

Answer

Delay treatment until transoesophageal echocardiography is complete

uk-plab-1 MCQ (SBA): Infective endocarditis

A 65-year-old man with a prosthetic aortic valve presents with fever and a new systolic murmur. Blood cultures are positive for Staphylococcus aureus. What is the most appropriate management?