A Rare Cause of Ischemic Stroke in Young Age: Infective Endocarditis

Abstract

Introduction: If untreated, infective endocarditis is virtually always a fatal disease. Fever, cardiac souffle, and nonspecific symptoms, such as myalgia and fatigue, are common. Here, we present a patient with the last diagnosis of infective endocarditis whose pre-diagnosis was meningitis and who developed stroke during the follow-up. Case Report: A 19-year-old male presented with a complaint of clouded consciousness and hyperthermia that he had experienced for 10 days. He was known to have no systemic disease. No obvious respiratory tract, genitourinary tract, gastrointestinal tract, or skin lesions were observed. Also, there was no neck stiffness on physical examination. He developed left hemiparesia (4/5) during the follow-up of the meningitis, and using cranial magnetic resonance, infarcts were found in the right MCA territories. After all, infective endocarditis was found as the origin of his complaints. Conclusion: This case report also emphasizes that we should not forget infective endocarditis in the etiology of systemic embolisms, especially in young patients.