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

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.