Infective endocarditis (IE) is uncommon in children with an incidence of around 0.6/100,000/year but causes a mortality of 11-20%. Only 7% of children having IE had neurological complications1. Ruptured mycotic aneurysm accounts for only 5% of neurological complications of IE. Rarely a ruptured mycotic aneurysm can be the first manifestation of IE. This catastrophic event is associated with 80% mortality. We present an 8 year old boy who presented with haemorrhagic stroke but was later confirmed to have features of mitral regurgitation along with mobile vegetations on anterior mitral leaflet.
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- Cerebral haemorrhage
- Infective endocarditis
- Mycotic aneurysm