Endo Carditus - What to Do With a Negative Trans Thoracic Echo?

How good is a trans thoracic echo for identifying endo carditus? And it really depends, as everything does in infectious disease. If you have sort of a stone cold, normal, perfect transterasic echo, it does havesort of a pretty good negative likelihood ratio. But with something high risk like staff woris bactoremia, would still generally recommend a transisophogio.