Streptococcus viridans endocarditis from tongue piercing.

Body piercing and tattooing have undergone a revival in popularity. We present the case of a 27-year-old man with a recent tongue piercing and infective endocarditis of the aortic valve. He was treated with a 6-week course of intravenous antibiotics, but eventually required a Ross procedure for progressive aortic insufficiency.