Causes of Culture negative endocarditis
1. Infective causes
- Brucella spp.
- Coxiella burnetti
- Chlamydia spp
- Prior antibiotic therapy
- Mycoplasma spp
- Legionella spp
- Histoplasmosis
- Tropherema whipelli
- Fungi
- HACEK: Hemophilus, Actinobacillus, Cardiobacterium, Eikenella, Kingella
- Bartonella
2. Non-infective causes:
- SLE (Libmann-Sacs)
- Marantic endocarditis
[The above picture shows the clinical features of infective endocarditis with a percentage of each feature. Taken from Kumar and Clark's Clinical Medicine 9th Edition: 1021]
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