Cardioembolic Stroke at Prosthetic Valve Endocarditis

Embolic events are frequent and life-threatening complications of infective endocarditis (IE), related to the migration cardiac vegetations. The risk embolism is very high in IE, with embolic occurring 20-50%of patients. brain spleen most common sites left-sided IE. Stroke a severe complication associated increased morbidity mortality rates. Case presentation: A 73-year-old male presented Emergency Department, May 2022 right hemiparesis, aphasia fever (38 0C). He reported history recurrent lasting two days. His pre-existing comorbidities included Diabetes Mellitus, Arterial Hypertension Atrial Fibrillation on anticoagulation therapy Acenocoumarole INR levels within normal range. past medical was significant for an Aortic Valve Replacement, September 2021 subsequent hospitalization January Prosthetic Endocarditis. At time, he up 38.8 0C, no findings transthoracic echocardiogram (TTE), positive blood cultures Enterococcus faecalis. It started antibiotic therapy. Laboratory imaging studies his latest admission revealed cardioembolic stroke. Conclusion: Infective can present wide variety symptoms early diagnosis be challenging. Establishing course disease would enable prompt implementation empiric therapy, potentially preventing serious complications. Keeping index suspicion when evaluating patients at might lead more favorable outcomes major it.