Bilateral watershed infarcts in infective endocarditis

Abstract

A 62-year-old male who is on maintenance hemodialysis for end-stage renal disease presented with sudden onset weakness of bilateral lower limbs, confusion, and disorientation overnight. Investigations revealed methicillin-resistant staphylococcus aureus in the blood culture and echocardiographic features suggestive of infective endocarditis. Imaging of brain revealed bilateral watershed infarcts in various sites.