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A 2.5-year-old male African pygmy hedgehog (Atelerix albiventris) was presented with a 2-week history of lethargy, reduced appetite, and general weakness. Based on the clinical signs and heart valve abnormalities observed during an echocardiography examination, a provisional diagnosis of endocardiosis or endocarditis was made. Immediate therapeutic intervention consisted of furosemide, pimobendan, and amoxicillin/clavulanate. Despite medical treatment, 2 weeks following presentation, the hedgehog's physical condition deteriorated to the point that euthanasia was recommended for the patient and agreed to by its owner. A postmortem examination was performed and tissue samples submitted for histopathology revealed a final diagnosis of valvular endocardiosis and wobbly hedgehog syndrome.