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Behcet disease — RCPSC IM MCQ

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HardRheumatologyBehcet diseaseRCPSC IM

A patient with a prosthetic aortic valve has fever, new first-degree AV block and blood cultures growing Staphylococcus aureus. TEE shows a periannular abscess. What is the most appropriate next management step?

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Correct answer: A — Get cardiac-surgery assessment with targeted IV antibiotics

Periannular abscess and conduction disturbance in prosthetic-valve endocarditis require urgent surgical assessment as well as targeted IV antibiotics. Oral treatment, delayed referral, anticoagulation for embolic prevention, or waiting for late failure risks uncontrolled infection.

Reference: Public Health Ontario, Infectious Diseases Resources: https://www.publichealthontario.ca/