Infective endocarditis caused by presenting as anterior mitral leaflet perforation mimicking cleft anterior mitral leaflet.

Infective endocarditis (IE) is primarily a bacterial infection of the heart valves. The most common organisms implicated include and species. However, with the advent of MALDI-TOF and molecular techniques, the reports of IE being caused by rare organisms are on a rise. Here we describe a case of IE due to . This is the first report of simultaneous infection of both mitral and aortic valves by from India. IE caused by has been seen to be more severe, associated with higher failure rates and relapse. This emphasizes the accurate identification of nutritionally variant (NVS) species as the management of choice varies between and .