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Nontuberculous mycobacteria are rare causes of cardiac implantable electronic device (CIED)-related infections and may lead to device-related endocarditis, so preventing them is key. We present a case of CIED-related pocket infection due to Mycobacterium fortuitum which highlights the challenges in management of such infections.We should know that hepatocellular carcinoma can progress as if it replaces the bile duct wall itself.Longstanding osteomalacia, by its proliferative enthesopathic changes, may mimic the advanced features of SpA.