Abstract
We present an uncommon case of endocarditis caused byMycobacterium abscessusin an immunocompetent patient following a caesarean section. We discuss her turbulent admission course leading to her diagnosis following persistentM. abscessusbacteraemia, medical and surgical management, including a splenectomy and valve resection and repair, and subsequent prolonged course of combination antimicrobials for 24 months post valve surgery. The patient is alive 9 months after completing her treatment and 36 months after her valve surgery. We emphasise the importance of a multidisciplinary team approach in the management of such a complex case.