The onset of infectious endocarditis with neurological symptoms

Abstract

Despite the well known clinical and laboratory signs of infectious endocarditis, it remains one of the most difficult conditions in terms of diagnostics. A cause of its late diagnostics is polymorphism of the clinical picture accompanied, especially at early stages, by clinical “masks” (cardiac, pulmonary, renal, cerebral, etc.). We report a case of atypical onset of the disease with multiple thromboembolism of cerebral arteries, minimal clinical manifestations, and rapid destruction of the mitral valve that required surgical intervention.