Young patient with sub-acute bacterial endocarditis presenting with embolic phenomena

Subacute Bacterial Endocarditis presents a diagnostic challenge even in this day and age due to a variety of manifestations which can be difficult to spot in the early stages where the disease can be treated effectively. This report focuses on the neural and cutaneous manifestations of the disease in a single patient. It stresses the need to suspect endocarditis in young children who present with manifestations of stroke, transient ischemic attacks or peripheral vascular lesions. Delay in treatment is a major cause of mortality in this population and only a high index of suspicion can lead to an early life saving diagnosis and treatment