Abstract
Left-sided infective endocarditis is a recognized but less common cause of cerebral embolism. When the causative organism is Methicillin- resistant Staphylococcus aureus, the rate of embolic phenomena increases. In such cases, surgical interventions should be considered when indicated. We present a case of a 20-year-old girl who presented with acute onset aphasia, and found to be having multifocal acute cerebral infarctions in brain imaging, which do not fall into a single vascular territory. Her echocardiogram confirmed mitral valve endocarditis while blood cultures were positive for Methicillin- resistant Staphylococcus aureus. She responded poorly to antibiotics and ultimately ended up with metallic prosthetic mitral valve replacement.
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