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.