# Multiple Cerebral Hematomas Revealing Infective Endocarditis: A Case Report and Literature Review

## TL;DR

A 32-year-old man with no heart disease history had a stroke caused by brain hematomas linked to infective endocarditis, a rare but serious condition.

## Contribution

This case highlights the rare presentation of infective endocarditis through multiple cerebral hematomas.

## Key findings

- Intracerebral hemorrhage can be a rare mode of presentation for infective endocarditis.
- The condition significantly alters prognosis and treatment strategies.
- The patient had no prior history of valvular heart disease.

## Abstract

Multiple cerebral hematomas represent a significant neurological and neurosurgical emergency, posing both etiological and therapeutic challenges. The etiologies are numerous, including infective endocarditis. Intracerebral hemorrhage is an unusual complication of infective endocarditis and is rarely described as a mode of presentation, but it completely changes the prognosis and consequently the therapeutic approach.

Herein, we describe the case of a 32-year-old male patient with no history of valvular heart disease who presented to the emergency department with a febrile focal neurological deficit related to a hemorrhagic stroke and in whom diagnostic investigations identified infective endocarditis as the origin.