Jr VG Fowler, LL Sanders, LK Kong, et al (Duke Univ, Durham, NC)
Infective Endocarditis Due to Staphylococcus aureus: 59 Prospectively Identified Cases with Follow-up.
Clin Infect Dis 28: 106-114, 1999
According to the Duke criteria for diagnosing infective endocarditis (IE) the vegetations need to be detected by using ECHO cardiography – either transesophageal echocardiography (TEE). The origin of the S.aureus bacteremia causing the vegetation is usually some intravascular device.
Endocarditis due to S.aureus is often a fatal disease and is detected by TTE in 33.9% cases and TEE in 81.4% of cases i.e. TEE is more sensitive and detects borderline cases more often than TTE.