Conclusions
Abiotrophia defectiva is a rare cause of infective endocarditis that is a typical inhabitant of the GI tract. Embolization of an endocarditis nidus is more frequent compared to other infectious species, however our patient also experienced dissemination to the bone and embolization to the brain, an infrequent occurrence. Our patient recovered without complications after treatment with a course of penicillin and gentamicin in the inpatient setting, and with outpatient management on ceftriaxone. It is our goal to raise the awareness of clinicians to the existence and complications that can result from A. defectiva endocarditis, as well as encouraging further research into efficacious antibiotic treatment. We hope this will result in prompt treatment and avoid further complications from A. defectiva endocarditis.