Case Report

Hampton’s Hump: A Notable Radiographic Finding in a Patient with Infectious Endocarditis

Table 2

Modified Duke Criteria.

Modified Duke Criteria

Major criteria
(1) 2 blood cultures positive for typical IE organisms
(2) Sonographic evidence
Minor criteria
(1) IVDU or predisposing structural heart defect
(2) Fever
(3) Vascular findings
(4) Immunologic findings§
(5) Positive blood culture of nontypical IE organism
Positive diagnosis of IE
2 major criteria, or
, or
5 minor criteria

Gram-positive organisms, Coxiella burnetii. Evidence of vegetation, abscess, and new regurgitation on ultrasound. Janeway lesions, embolic phenomena, mycotic aneurysms. §Osler nodes, Roth spots, and glomerulonephritis. Table recreated from MDCALC website (available at https://www.mdcalc.com/duke-criteria-infective-endocarditis#evidence).