id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-307357-qm456cik	Ulloa, Nicolas	A Clinical Challenge in the Emergency Department: A Case of Klebsiella Infective Endocarditis Presenting With Splenic Abscess	2020-09-21		.txt	text/plain	3218	187	48	Patients may lack well-known risk factors such as intravenous drug use, previous history of IE, and prosthetic heart valves, which can make it more difficult to consider in the differential diagnosis, especially during the influenza season and novel coronavirus disease 2019 (COVID-19) pandemic in which there is an abundance of patients presenting with flu-like illness. Obtaining timely blood cultures and administering appropriate empiric antibiotics in the ED coupled with early transthoracic/transesophageal echocardiogram (TTE/TEE) are essential to guiding therapy once the patient is admitted to the hospital. A high index of suspicion is required, especially in patients with additional findings such as splenic abscess, embolic phenomenon, focal neurologic deficit, mycotic aneurysm, decompensated heart failure, new murmurs, or pleural effusions. A high index of suspicion is required, especially in patients with additional findings such as splenic abscess, embolic phenomenon, focal neurologic deficit, mycotic aneurysm, decompensated heart failure, new murmurs, or pleural effusions.	./cache/cord-307357-qm456cik.txt	./txt/cord-307357-qm456cik.txt