This male patient in his early 60s presented with 3 months of worsening fatigue, anorexia, breathlessness and more recently, fevers. He was also investigated for new back pain and found to have vertebral discitis. Blood cultures were positive for enterococcus faecalis. Echocardiogram confirmed moderate to severe aortic and mitral regurgitation with multiple small sub-centimetre vegetations on the leaflets of both valves. The diagnosis of subacute bacterial endocarditis involving the aortic and mitral valves was made and he was started on intravenous antibiotics.