Abstract
To the Editor.— The signs, symptoms, and possible complications of bacterial endocarditis are well known. Intracranial abnormalities that may develop include areas of infarction from septic emboli, mycotic aneurysms, and areas of hemorrhage. The computerized tomographic (CT) head scan findings of the intracerebral complications are not widely recognized. The following is a report of such a case. Report of a Case.— A 62-year-old woman was admitted to the hospital in a semicomatose state. She was apparently up and about the day before admission. Physical examination showed cyanotic discoloration under the nails and on the feet, compatible with embolic phenomena. A CT scan performed at the time of admission showed multiple areas of hemorrhage bilaterally within the brain (Fig 1). Blood cultures grew Staphylococcus aureus and a group D enterococcus. Her CSF also grew S aureus . Her clinical course was downhill, and she died three days after admission. A postmortem examination
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