Introduction:
A. defectiva, is an organism which is part of the normal flora of the intestinal tract, oral cavity and urogenital tract [1]. It accounts for up to 6% of streptococcal infective endocarditis (IE) and has also been proposed as a possible pathogen in culture-negative endocarditis [2].
Classified as a nutritionally variant streptococcus (NVS),A.defectiva can have devastating implications if missed due to its high frequency of septic embolisation [3]. A case of aortic valve infective endocarditis in an 87-year-old lady with a background history of severe aortic stenosis (AS) who presented atypically with bleeding per rectum (PR) and functional decline is described. The patient gave written informed consent to reporting her clinical and laboratory data as well as her radiographic images.