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He recovered well post-targeted long-term antibiotics. Endoscopy confirmed a chronic rectal prolapse with multiple ulcers and was hypothesised as the source of bacteraemia. He subsequently underwent perineal rectosigmoidectomy. This uncommon sequela of rectal prolapse highlights several issues, including the management of neurogenic bowel dysfunction following spinal cord injury and the importance of early prolapse recognition and management. Finally, appropriate collection of blood cultures and correct use of echocardiography are critical steps in investigating infective endocarditis.<\/jats:p>","DOI":"10.1136\/bcr-2020-240356","type":"journal-article","created":{"date-parts":[[2021,2,8]],"date-time":"2021-02-08T17:12:54Z","timestamp":1612804374000},"page":"e240356","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["<i>Enterococcus faecalis<\/i> infective endocarditis arising from chronic rectal prolapse in the setting of spinal cord injury"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9798-1321","authenticated-orcid":false,"given":"Harendra Maneesha","family":"De Silva","sequence":"first","affiliation":[{"name":"Department of General Surgery, The Northern Hospital, Epping, Victoria, 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