Decoding the 2023 Duke-ISCVID Criteria (2024)

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Volume 78 Issue 6 15 June 2024
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Sami El-Dalati

Division of Infectious Diseases, Department of Internal Medicine, University of Kentucky College of Medicine

,

Lexington, KY

,

USA

Correspondence: S. El-Dalati, Division of Infectious Diseases, Department of Internal Medicine, University of Kentucky College of Medicine, 3101 Beaumont Centre Circle, Lexington, KY 40513 (s.eldalati10@gmail.com).

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David Henson

Department of Internal Medicine, University of Kentucky College of Medicine

,

Lexington, KY

,

USA

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Clinical Infectious Diseases, Volume 78, Issue 6, 15 June 2024, Pages 1777–1779, https://doi.org/10.1093/cid/ciad682

Published:

17 November 2023

Article history

Published:

17 November 2023

Corrected and typeset:

29 November 2023

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To the Editor—This correspondence is in regard to the recently published article, “The 2023 Duke–International Society for Cardiovascular Infectious Diseases Criteria for Infective Endocarditis: Updating the Modified Duke Criteria” [1]. First, we would like to thank the authors of this manuscript for their efforts in producing a much-needed revised diagnostic criteria for infective endocarditis (IE) and the editor for publishing this manuscript. However, we would like to highlight a point of confusion arising from the new criteria.

In this paper, the authors emphasize that 2 new predisposing conditions (a previous history of IE and presence of an endovascular intracardiac implantable electronic device) for IE were included as part of the minor criteria. This change was outlined in Table 2, subheading IIA (Figure 1), under minor criteria and predisposition. Notably, these 2 new conditions were included in bold type, along with 6 other conditions (prosthetic valve, previous valve repair, congenital heart disease, more than mild regurgitation or stenosis of any etiology, hypertrophic obstructive cardiomyopathy, or injection drug use) that were purported to be listed in prior versions of the Duke criteria published in 1994 and 2000 [3, 4]. However, on close review of these 2 prior papers, no specific predisposing conditions are clearly identified except for intravenous drug use.

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