Neurological Complication of Infective Endocarditis Misdiagnosing with Multiple Sclerosis: A Case Report

Infective endocarditis (IE) is a rare but serious disease with different clinical pictures. Its neurological complication is commonly mistaken in term of diagnosis and treatment. Therefore, such cases must be taken under further diagnostic imaging for searching the basic structural lesions. Known causes of these signs include cardio embolism with hemorrhagic transformation, septic embolism, or mycotic aneurysms. In this paper, our case was a patient admitted for the evaluation of local neurological complaint reason and subsequent therapy. He was found to have bacterial endocarditis after medical workup. It was diagnosed prospectively from positive tests of vegetation on Transesophageal echocardiogram and Magnetic resonance imaging (MRI) results.