Endocarditis caused by other organisms
Endocarditis caused by organisms other than those covered in these guidelines is uncommon. Always seek expert advice from an endocarditis team; see Approach to managing infective endocarditis.
Endocarditis caused by enteric gram-negative organisms or Pseudomonas aeruginosa has high mortality and frequently requires cardiac surgery in combination with prolonged antimicrobial therapy.
Candidal endocarditis predominantly occurs in people who inject drugs, but can also occur in patients with immune compromise, an intravenous catheter in situ or a prosthetic heart valveKeighley, 2021 – seek expert advice and consult the Consensus guidelines for the diagnosis and management of invasive candidiasis in haematology, oncology and intensive care settings. Endocarditis caused by non-candidal fungi is rare.