1. Especially, since the exact rate for infective endocarditis is unknown. 2. The most common bacteria associated with infective endocarditis are streptococcus sanguinis. 3. Infective endocarditis is an infection of the endothelium lining of the heart.4. Multiple case reports of infective endocarditis caused by unusual organisms have been published. 5. It most likely follows a similar path with other infective endocarditis causing agents. 6. Other causes include infective endocarditis where the vegetations may favor increase risk of stenosis. 7. Mortality for infective endocarditis is around 20 %. 8. Infective endocarditis is a severe condition which occurs on native as well as on artificial valves.9. This was the first documented case where this bacterium has been identified as the cause of infective endocarditis . 10. Like NBTE, Libman-Sacks endocarditis involves small vegetations, while infective endocarditis is composed of large vegetations.