# Septic cardioembolic stroke secondary to infective endocarditis in a young patient with rheumatic heart disease: a case report

## TL;DR

A young man with heart disease survived a rare stroke caused by an infection in his heart, successfully treated in a low-resource setting.

## Contribution

Presents a successful treatment case of septic cardioembolic stroke in a low-resource setting.

## Key findings

- A 24-year-old male with rheumatic heart disease developed septic cardioembolic stroke due to infective endocarditis.
- The patient was successfully treated in a low-resource setting despite the high risk of complications.
- The case highlights challenges in diagnosing and treating such conditions in areas with limited imaging and diagnostic resources.

## Abstract

The risk of stroke due to infective endocarditis is particularly high during the first week. Moreover, in low-resource settings where imaging access is limited, and diagnostic pathways are inaccurate the risk further increases. In addition to antibiotic therapy, treatment may include intravenous thrombolysis, with high risk of hemorrhagic complications in patients with infective endocarditis or mechanical thrombectomy. We report here a case of a 24-year-old male with rheumatic heart disease presenting a septic cardioembolic stroke secondary to infective endocarditis that was successfully treated in a low-resource setting.