Candida
Blood cultures positive in most cases of Candida
Aspergillus (less common)
Noncardiac sites of metastatic infection may occur
Ie. endophthalmitis - requiring systemic and intraocular antifungal
Consult Infectious Diseases
Surgical replacement of infected valve
PLUS
PLUS
Once completion of initial therapy, long-term (lifelong) suppressive therapy with an oral azole is reasonable, especially in those deemed inappropriate for surgery
