Enterococcus faecalis bacteraemia and infective endocarditis - what are we missing?

•Enterococcus faecalis is an increasingly recognised cause of infective endocarditis.•Risk factors associated with increased IE risk include community acquisition, presence of cardiac risk factors, longer duration of bacteraemia and mono-microbial bacteraemia.•E. faecalis endocarditis cases may be under-recognised without expanding use of echocardiography.